Provider Demographics
NPI:1346535317
Name:DAMSKY, KARA MICHELE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:KARA
Middle Name:MICHELE
Last Name:DAMSKY
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 1:174A SOUTHAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:MASTIC
Mailing Address - State:NY
Mailing Address - Zip Code:11950-4011
Mailing Address - Country:US
Mailing Address - Phone:631-741-4603
Mailing Address - Fax:
Practice Address - Street 1:128 MAIN ST
Practice Address - Street 2:
Practice Address - City:YAPHANK
Practice Address - State:NY
Practice Address - Zip Code:11980-1503
Practice Address - Country:US
Practice Address - Phone:631-741-4603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY080254104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker