Provider Demographics
NPI:1104028778
Name:LASSER, KAREN IVY (MSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:IVY
Last Name:LASSER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 DEPEYSTER AVE
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-2207
Mailing Address - Country:US
Mailing Address - Phone:201-569-2600
Mailing Address - Fax:
Practice Address - Street 1:5 DEPEYSTER AVE
Practice Address - Street 2:
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670-2207
Practice Address - Country:US
Practice Address - Phone:201-569-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC006665001041C0700X
NYR034788-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical