KAREN WELTHY LCSW
NPI 1972610723
Social Worker - Clinical in Troy, NY
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
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Karen Welthy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glen Allen, VA 23060
- Reassigned Medicare billing, Virginia enrollment
- 84 clinicians in this Medicare group
Norfolk, VA 23502
- Reassigned Medicare billing, Virginia enrollment
- 1,901 clinicians in this Medicare group
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 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.
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.
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.
TROY, NY 12180
TROY, NY 12180
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.
Which organizations bill Medicare for Karen Welthy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Welthy reassigns Medicare benefits to 2 organizations: Henrico Area Mental Heatlh And Developmental Services (Glen Allen, VA) and Sentara Medical Group (Norfolk, 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 Welthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Welthy accept?
Health plans from Oscar Health list Karen Welthy 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 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.
# Karen Welthy, LCSW · NPI 1972610723
Clinical provider in Troy, New York. Individual provider, active in the CMS NPPES registry since August 25, 2006.
## Identity
- **NPI:** 1972610723 (Entity type: Individual)
- **Enumerated:** August 25, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 074677 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT, Troy, NY 12180-2466
- **Phone:** (518) 271-3300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Henrico Area Mental Heatlh And Developmental Services (NPI 1023119773, Glen Allen, VA); Sentara Medical Group (NPI 1265485270, Norfolk, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** May 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1972610723) · Data from the CMS NPPES public registry.