Provider Demographics
NPI:1477714780
Name:SPERATI, KAREN FREELAND (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:FREELAND
Last Name:SPERATI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2159 WOLF LN
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-9702
Mailing Address - Country:US
Mailing Address - Phone:919-389-0211
Mailing Address - Fax:252-208-0746
Practice Address - Street 1:2901 N HERRITAGE ST
Practice Address - Street 2:STE B
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-1581
Practice Address - Country:US
Practice Address - Phone:252-233-2383
Practice Address - Fax:252-523-3148
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0059841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106967Medicaid
NC1499AOtherBCBSNC
NC20-8824OtherMEDCOST
NC3053874OtherCIGNA
NC20-8824OtherMEDCOST