Provider Demographics
NPI:1447581004
Name:VIOLETA, KARALYN JEANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KARALYN
Middle Name:JEANNE
Last Name:VIOLETA
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 1:12 MAIN ST # 1082
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-6402
Mailing Address - Country:US
Mailing Address - Phone:347-370-9867
Mailing Address - Fax:
Practice Address - Street 1:12 MAIN ST # 1082
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-6402
Practice Address - Country:US
Practice Address - Phone:347-370-9867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-21
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0874291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty