Provider Demographics
NPI:1376973032
Name:KAREN LEWIS, LLC
Entity Type:Organization
Organization Name:KAREN LEWIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:201-290-5550
Mailing Address - Street 1:416 CEDAR LN FL 2
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-1709
Mailing Address - Country:US
Mailing Address - Phone:201-290-5550
Mailing Address - Fax:201-568-1786
Practice Address - Street 1:416 CEDAR LN FL 2
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-1709
Practice Address - Country:US
Practice Address - Phone:201-290-5550
Practice Address - Fax:201-568-1786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-17
Last Update Date:2013-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC5502000251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health