Provider Demographics
NPI:1073645701
Name:KULKARNI, ARCHANA NARAYAN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ARCHANA
Middle Name:NARAYAN
Last Name:KULKARNI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ARCHANA
Other - Middle Name:
Other - Last Name:RAMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3490 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4333
Mailing Address - Country:US
Mailing Address - Phone:408-243-0222
Mailing Address - Fax:408-289-1140
Practice Address - Street 1:2542 S BASCOM AVE
Practice Address - Street 2:SUITE 255
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-5526
Practice Address - Country:US
Practice Address - Phone:408-768-1841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA191771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical