Provider Demographics
NPI:1578013934
Name:SAFRIS, KAREN (LMSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:SAFRIS
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:PO BOX 230
Mailing Address - Street 2:
Mailing Address - City:LINCOLNDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10540-0230
Mailing Address - Country:US
Mailing Address - Phone:914-248-7797
Mailing Address - Fax:
Practice Address - Street 1:2700 WESTCHESTER AVENUE
Practice Address - Street 2:ACHIEVE BEYOND
Practice Address - City:PURCHASE
Practice Address - State:NY
Practice Address - Zip Code:10577
Practice Address - Country:US
Practice Address - Phone:914-328-2868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064555-1106E00000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst