Provider Demographics
NPI:1033213533
Name:DARLEY, KAREN R (LCSW, LICSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:DARLEY
Suffix:
Gender:F
Credentials:LCSW, LICSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:R
Other - Last Name:TROWBRIDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LICSW
Mailing Address - Street 1:319 BEECH STREET
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040
Mailing Address - Country:US
Mailing Address - Phone:413-540-1155
Mailing Address - Fax:
Practice Address - Street 1:319 BEECH ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-3968
Practice Address - Country:US
Practice Address - Phone:413-594-2141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1179141041C0700X
CT0046101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT306426OtherHEALTHNET
CT142702OtherVALUE OPTIONS
CT306426OtherHEALTHNET