Provider Demographics
NPI:1275793606
Name:VERDELLI, KAREN M (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:VERDELLI
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 1:73 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BAILEYVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04694-3429
Mailing Address - Country:US
Mailing Address - Phone:207-318-8778
Mailing Address - Fax:207-222-4013
Practice Address - Street 1:73 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BAILEYVILLE
Practice Address - State:ME
Practice Address - Zip Code:04694-3429
Practice Address - Country:US
Practice Address - Phone:207-318-8778
Practice Address - Fax:207-222-4013
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC115721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical