Provider Demographics
NPI:1326135773
Name:ARONSON, KAREN FORRESTER (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:FORRESTER
Last Name:ARONSON
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 1:2 BROOKSITE DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-3455
Mailing Address - Country:US
Mailing Address - Phone:516-639-0421
Mailing Address - Fax:631-265-0757
Practice Address - Street 1:2 BROOKSITE DR
Practice Address - Street 2:SUITE 220
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3455
Practice Address - Country:US
Practice Address - Phone:516-639-0421
Practice Address - Fax:631-265-0757
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNH4391Medicare ID - Type UnspecifiedPROVIDER