Provider Demographics
NPI:1437454600
Name:FITHIAN, KAREN MELISSA (LSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MELISSA
Last Name:FITHIAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1097 LAVERA RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2661
Mailing Address - Country:US
Mailing Address - Phone:215-773-0704
Mailing Address - Fax:
Practice Address - Street 1:176 YORK RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-4513
Practice Address - Country:US
Practice Address - Phone:215-500-2478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-20
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW011782L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker