Provider Demographics
NPI:1083648141
Name:KARANJIA, PERVIZ T (LCSW LP)
Entity Type:Individual
Prefix:MS
First Name:PERVIZ
Middle Name:T
Last Name:KARANJIA
Suffix:
Gender:F
Credentials:LCSW LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 FIRST AVE
Mailing Address - Street 2:#2E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4946
Mailing Address - Country:US
Mailing Address - Phone:212-982-3973
Mailing Address - Fax:
Practice Address - Street 1:390 FIRST AVE
Practice Address - Street 2:#2E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4946
Practice Address - Country:US
Practice Address - Phone:212-982-3973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLCSWR0134991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical