Provider Demographics
NPI:1356073704
Name:KARP, DAVID E (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:E
Last Name:KARP
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 SAMUELS PATH
Mailing Address - Street 2:
Mailing Address - City:MILLER PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11764-1921
Mailing Address - Country:US
Mailing Address - Phone:631-223-5988
Mailing Address - Fax:
Practice Address - Street 1:36 SAMUELS PATH
Practice Address - Street 2:
Practice Address - City:MILLER PLACE
Practice Address - State:NY
Practice Address - Zip Code:11764-1921
Practice Address - Country:US
Practice Address - Phone:631-223-5988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-25
Last Update Date:2022-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0917651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty