Provider Demographics
NPI:1275602054
Name:GERSON, KAREN BETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:BETH
Last Name:GERSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 HYACINTH LN
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-2921
Mailing Address - Country:US
Mailing Address - Phone:504-831-4676
Mailing Address - Fax:985-674-1257
Practice Address - Street 1:200 MARINERS PLAZA DR
Practice Address - Street 2:104
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-4795
Practice Address - Country:US
Practice Address - Phone:504-831-4676
Practice Address - Fax:985-674-1257
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA24371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical