Provider Demographics
NPI:1619200680
Name:NOBLE, KAREN (MSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:NOBLE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 DUNBARTON RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-2457
Mailing Address - Country:US
Mailing Address - Phone:617-484-0268
Mailing Address - Fax:617-484-3576
Practice Address - Street 1:12 DUNBARTON RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-2457
Practice Address - Country:US
Practice Address - Phone:617-484-0268
Practice Address - Fax:617-484-3576
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP0226101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical