Provider Demographics
NPI:1457481616
Name:BARZILAY, KAREN (LVN, LCSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:BARZILAY
Suffix:
Gender:F
Credentials:LVN, LCSW
Other - Prefix:MS
Other - First Name:ALIZA
Other - Middle Name:
Other - Last Name:BARZILAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:12901 VENICE BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-3509
Mailing Address - Country:US
Mailing Address - Phone:310-390-3611
Mailing Address - Fax:310-390-4906
Practice Address - Street 1:12901 VENICE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-3509
Practice Address - Country:US
Practice Address - Phone:310-390-3611
Practice Address - Fax:310-390-4906
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical