Provider Demographics
NPI:1407962962
Name:MESHNICK, KAREN ELLEN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ELLEN
Last Name:MESHNICK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6 VOLINO DRIVE
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603
Mailing Address - Country:US
Mailing Address - Phone:845-462-5371
Mailing Address - Fax:
Practice Address - Street 1:44 SPRINGWOOD DR
Practice Address - Street 2:DAYTOP VILLAGE INC SPRINGWOOD CAMPUS
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572
Practice Address - Country:US
Practice Address - Phone:845-876-5656
Practice Address - Fax:845-786-2529
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0744741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical