Provider Demographics
NPI:1003901224
Name:CARRARO, KAREN ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:CARRARO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3221 WEST OX ROAD
Mailing Address - Street 2:SUNRISE I FAIRFAX AD5
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171
Mailing Address - Country:US
Mailing Address - Phone:703-648-0887
Mailing Address - Fax:703-758-6641
Practice Address - Street 1:3221 WEST OX ROAD
Practice Address - Street 2:SUNRISE I FAIRFAX AD5
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171
Practice Address - Country:US
Practice Address - Phone:703-648-0887
Practice Address - Fax:703-758-6641
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0904006306OtherBOARD OF SOCIAL WORK