Provider Demographics
NPI:1407629603
Name:WHITFIELD, KAREEMA TA-SHE (DSW, LMSW)
Entity Type:Individual
Prefix:DR
First Name:KAREEMA
Middle Name:TA-SHE
Last Name:WHITFIELD
Suffix:
Gender:F
Credentials:DSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 COZINE AVE APT 9G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-8809
Mailing Address - Country:US
Mailing Address - Phone:347-639-4526
Mailing Address - Fax:
Practice Address - Street 1:200 COZINE AVE APT 9G
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-8809
Practice Address - Country:US
Practice Address - Phone:347-639-4526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-31
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111071171W00000X, 251B00000X, 251K00000X, 261QR1100X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171W00000XOther Service ProvidersContractor
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch