Provider Demographics
NPI:1144379405
Name:MCGROERTY, KAREN HASTINGS (LPCMH)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:HASTINGS
Last Name:MCGROERTY
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-3320
Mailing Address - Country:US
Mailing Address - Phone:302-629-8294
Mailing Address - Fax:302-628-1711
Practice Address - Street 1:12649 DUPONT BLVD
Practice Address - Street 2:
Practice Address - City:ELLENDALE
Practice Address - State:DE
Practice Address - Zip Code:19941-3307
Practice Address - Country:US
Practice Address - Phone:302-422-1530
Practice Address - Fax:302-422-1534
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC0000374101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0503373LPCOtherBLUE CROSS