Provider Demographics
NPI:1366656498
Name:D'AMORE, KAREN (LCSW, BCD)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:D'AMORE
Suffix:
Gender:F
Credentials:LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:799 BROADWAY
Mailing Address - Street 2:SUITE 312
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-6811
Mailing Address - Country:US
Mailing Address - Phone:212-228-6685
Mailing Address - Fax:212-228-6685
Practice Address - Street 1:799 BROADWAY
Practice Address - Street 2:SUITE 312
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-6811
Practice Address - Country:US
Practice Address - Phone:212-228-6685
Practice Address - Fax:212-228-6685
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0163941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical