Provider Demographics
NPI:1215199328
Name:KULCHIN, KAREN MICHELE (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:MICHELE
Last Name:KULCHIN
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:MICHELE
Other - Last Name:STAHLHOTH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW LCSW
Mailing Address - Street 1:191 SAINT THOMAS DR
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91377-5546
Mailing Address - Country:US
Mailing Address - Phone:818-225-0210
Mailing Address - Fax:
Practice Address - Street 1:4766 PARK GRANADA
Practice Address - Street 2:STE 108
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1563
Practice Address - Country:US
Practice Address - Phone:818-225-0210
Practice Address - Fax:818-597-9069
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2017-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS165051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical