Provider Demographics
NPI:1326194226
Name:ORSINI, KAREN (LCSW, ACSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:ORSINI
Suffix:
Gender:F
Credentials:LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 N BROADWAY
Mailing Address - Street 2:SUITE 2011
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-2909
Mailing Address - Country:US
Mailing Address - Phone:516-835-3850
Mailing Address - Fax:516-433-1605
Practice Address - Street 1:76 N BROADWAY
Practice Address - Street 2:SUITE 2011
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-2909
Practice Address - Country:US
Practice Address - Phone:516-835-3850
Practice Address - Fax:516-433-1605
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR333431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN55501Medicare ID - Type Unspecified