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KAREN WELTHY LCSW
NPI 1972610723
Social Worker - Clinical in Troy, NY

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT, TROY, NY 12180(518) 271-3300 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2022, Jul 7, 2021 (2 updates tracked since 2021).

About Karen Welthy Lcsw NPPES

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

KAREN WELTHY LCSW (NPI 1972610723) is an individual clinical provider in Troy, New York, licensed in New York (074677) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Virginia Beach, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1972610723
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAREN WELTHYCredential: LCSW
Location Address2215 BURDETT AVE, BEHAVIORAL HEALTH DEPTTroy, NY 12180-2466
Mailing Address9987 Canvassback Pass CtMechanicsville, VA 23116-6698
Phone(518) 271-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 25, 2006
Last NPPES UpdateMay 20, 20222 updates tracked since enumeration
NPPES CertifiedMay 20, 2022
✔ NPI 1972610723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · 074677✔ Licensed in VA · 0904007481
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.
2215 BURDETT AVE, Troy, NY 12180
Open in Google Maps ↗

Secondary Practice Location 1

Location 11020 First Colonial Rd Ste AVirginia Beach, VA 23454-3078 · Phone (757) 395-1850 · Fax (757) 222-9360

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Welthy 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 ID3577562800
PECOS Enrollment IDI20120820000870
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12180 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENNIFER L FREEMAN R.D.
Dietitian, Registered
2215 BURDETT AVE, SAMARITAN HOSPITAL - NUTRITION SERVICES
TROY, NY 12180
Rensselaer County (518) 271-3905
SAMUEL ANAMEZE MD
Internal Medicine
2215 BURDETT AVE
TROY, NY 12180
Rensselaer County (518) 270-3094
MR. MARK WILBUR YARBROUGH PA
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Rensselaer County (518) 271-3300
KELLY LYNNE HEARNE MS, RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2215 BURDETT AVE
TROY, NY 12180
Rensselaer County (518) 271-3554
JANET L ALLOWAY PA
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Rensselaer County (518) 271-3300
THEODORE MICHAEL INES PHD
Psychologist
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
Rensselaer County (518) 271-3300
BURDETT CARE CENTER, INC
General Acute Care Hospital
2215 BURDETT AVE, SUITE 200
TROY, NY 12180
Rensselaer County (518) 271-3655
CATHERINE CROTHERS COPE STIEGLITZ LCSW
Social Worker (Clinical)
2215 BURDETT AVE
TROY, NY 12180
Rensselaer County (518) 833-6470

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 Welthy's NPI number?

The NPI number for Karen Welthy is 1972610723. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Karen Welthy located?

Karen Welthy practices at 2215 Burdett Ave Behavioral Health Dept, Troy, NY 12180. The listed phone number is (518) 271-3300.

What is Karen Welthy's specialty?

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

Is Karen Welthy enrolled in Medicare?

Yes. Karen Welthy 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.

When was this NPI record last updated?

The NPPES record for Karen Welthy was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.