Provider Demographics
NPI:1225261142
Name:CLAY, KAREN ANGELA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANGELA
Last Name:CLAY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HOSPITAL RD
Mailing Address - Street 2:CEDARWOOD HALL
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1538
Mailing Address - Country:US
Mailing Address - Phone:914-493-8706
Mailing Address - Fax:914-493-1023
Practice Address - Street 1:20 HOSPITAL RD
Practice Address - Street 2:CEDARWOOD HALL
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1538
Practice Address - Country:US
Practice Address - Phone:914-493-8706
Practice Address - Fax:914-493-1023
Is Sole Proprietor?:No
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY063063-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker