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MS. KAREN JULIA TREMBLAY LCSW
NPI 1205270972
Social Worker - Clinical in Clayton, NC

Active since April 24, 2013PECOS Enrolled
37 ARABELLA LN, CLAYTON, NC 27520(919) 389-7535 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Karen Julia Tremblay Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KAREN JULIA TREMBLAY LCSW (NPI 1205270972) is an individual clinical provider in Clayton, North Carolina, licensed in North Carolina (C004846) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205270972
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KAREN JULIA TREMBLAYCredential: LCSW
Location Address37 ARABELLA LNClayton, NC 27520-4984
Mailing Address37 Arabella LnClayton, NC 27520-4984 · (919) 389-7535
Phone(919) 389-7535
Sole ProprietorYes
Enumeration DateApril 24, 2013
Last NPPES UpdateJune 12, 2013
✔ NPI 1205270972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C004846
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
37 ARABELLA LN, Clayton, NC 27520
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Other Identifiers 1

OtherC004846NC · Licensed Clinical Social Worker

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Karen Julia Tremblay Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Karen Tremblay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
682 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida and North Carolina enrollments
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27520 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Tremblay's NPI number?

The NPI number for Karen Tremblay is 1205270972. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Where is Karen Tremblay located?

Karen Tremblay practices at 37 Arabella Ln, Clayton, NC 27520. The listed phone number is (919) 389-7535.

What is Karen Tremblay's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Karen Tremblay enrolled in Medicare?

Yes. Karen Tremblay is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Tremblay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Tremblay reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Tremblay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Tremblay accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc., Cigna Healthcare and UnitedHealthcare list Karen Tremblay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Tremblay was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.