Provider Demographics
NPI:1003804683
Name:BINDER, KAREN (LICSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:BINDER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 IRELAND RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON CENTRE
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1268
Mailing Address - Country:US
Mailing Address - Phone:617-244-8389
Mailing Address - Fax:781-438-5553
Practice Address - Street 1:271 MAIN ST
Practice Address - Street 2:SUITE 205
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-3591
Practice Address - Country:US
Practice Address - Phone:617-244-8389
Practice Address - Fax:781-438-5553
Is Sole Proprietor?:No
Enumeration Date:2005-10-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA104801101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1854151Medicaid
MABIP21151Medicare ID - Type Unspecified