Provider Demographics
NPI:1538484720
Name:WILLIAMS, KARELEE A (LMSW)
Entity Type:Individual
Prefix:
First Name:KARELEE
Middle Name:A
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 MIRIN AVE
Mailing Address - Street 2:
Mailing Address - City:ROOSEVELT
Mailing Address - State:NY
Mailing Address - Zip Code:11575-1621
Mailing Address - Country:US
Mailing Address - Phone:718-257-7780
Mailing Address - Fax:718-257-8831
Practice Address - Street 1:KINGSBORO PSYCHIATRIC CENTER
Practice Address - Street 2:681 CLARKSON AVENUE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-257-7780
Practice Address - Fax:718-257-8831
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055225-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker