Provider Demographics
NPI:1083238208
Name:FLANAGAN, KAREN LEE (CSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LEE
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:LEE
Other - Last Name:FLANAGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:305 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-1511
Mailing Address - Country:US
Mailing Address - Phone:908-755-4848
Mailing Address - Fax:
Practice Address - Street 1:305 W 7TH ST
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-1511
Practice Address - Country:US
Practice Address - Phone:908-755-4848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SW00060900104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker