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MRS. KAREN MULGRUM LCSW
NPI 1821129354
Social Worker - Clinical in Matawan, NJ

Active since March 08, 2007PECOS EnrolledAccepts Medicare Assignment
4122 RTE 516 STE C AND D, STRESS CARE OF NEW JERSEY, MATAWAN, NJ 07747(732) 679-4500(732) 679-4549 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Karen Mulgrum Lcsw NPPES

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

MRS. KAREN MULGRUM LCSW (NPI 1821129354) is an individual clinical provider in Matawan, New Jersey, licensed in New Jersey (44SC05420000) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1821129354
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KAREN MULGRUMCredential: LCSW
Location Address4122 RTE 516 STE C AND D, STRESS CARE OF NEW JERSEYMatawan, NJ 07747
Mailing Address48 Hidden Harbor DrPoint Pleasant Boro, NJ 08742-4842 · (732) 701-1340
Phone(732) 679-4500
Fax(732) 679-4549
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 23, 2013
✔ NPI 1821129354 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 NJ · 44SC05420000
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.
4122 RTE 516 STE C AND D, Matawan, NJ 07747
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Other Identifiers 1

Medicaid0029807NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Karen Mulgrum Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264557602
PECOS Enrollment IDI20100909000114
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 Reassignments

3

Medicare enrollment records show Karen Mulgrum reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Theracorp, LLC
9.4 mi
Clinical
79 E RAILROAD AVE
Jamesburg, NJ 08831
  • Reassigned Medicare billing, New Jersey enrollment
  • 25 clinicians in this Medicare group
NPI 1063947828 (732) 561-8555
Comprehensive Psychological And Wellness Center,llc
40 mi
Prescribing (Medical)
424 S MAIN ST, UNIT F
Forked River, NJ 08731
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
NPI 1821208158 (609) 693-4343
Thrive Counseling LLC
333 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, New Jersey enrollment
  • 138 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
251 services23 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
71 services11 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07747 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 $61.59 – $185.05
Typical copayment $0.00 (range $15.39 – $46.26)
Most-billed visit code NA
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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 Mulgrum's NPI number?

The NPI number for Karen Mulgrum is 1821129354. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Karen Mulgrum located?

Karen Mulgrum practices at 4122 Rte 516 Ste C And D Stress Care Of New Jersey, Matawan, NJ 07747. The listed phone number is (732) 679-4500.

What is Karen Mulgrum's specialty?

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

Is Karen Mulgrum enrolled in Medicare?

Yes. Karen Mulgrum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Karen Mulgrum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Mulgrum reassigns Medicare benefits to 3 organizations: Theracorp, LLC (Jamesburg, NJ), Comprehensive Psychological And Wellness Center,llc (Forked River, NJ) and Thrive Counseling LLC (Lynchburg, VA). Each 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 Mulgrum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Mulgrum accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Karen Mulgrum 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 Mulgrum was last updated on July 23, 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.