Provider Demographics
NPI:1073964292
Name:GOLDMAN-HERTZ, KAREN SUE (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:GOLDMAN-HERTZ
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 1:36 ABINGDON LN
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-6651
Mailing Address - Country:US
Mailing Address - Phone:914-907-9598
Mailing Address - Fax:
Practice Address - Street 1:36 ABINGDON LN
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-6651
Practice Address - Country:US
Practice Address - Phone:914-907-9598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR022553-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical