Provider Demographics
NPI:1376897686
Name:STROUSS, KARLEY MICHELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:KARLEY
Middle Name:MICHELLE
Last Name:STROUSS
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 1:6060 VERDE TRL S APT 501
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-4468
Mailing Address - Country:US
Mailing Address - Phone:248-763-6631
Mailing Address - Fax:
Practice Address - Street 1:2534 JUDAH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-1438
Practice Address - Country:US
Practice Address - Phone:415-449-1214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34815101Y00000X
CAASW 34815104100000X
FL207001041C0700X
CA707911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker