Provider Demographics
NPI:1639229297
Name:KOHN, KAREN ELIZABETH (LCSW CADC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELIZABETH
Last Name:KOHN
Suffix:
Gender:F
Credentials:LCSW CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16529 COASTAL HWY
Mailing Address - Street 2:RED MILL CENTER
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-3605
Mailing Address - Country:US
Mailing Address - Phone:302-645-0115
Mailing Address - Fax:302-945-4221
Practice Address - Street 1:16529 COASTAL HWY
Practice Address - Street 2:RED MILL CENTER
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-3605
Practice Address - Country:US
Practice Address - Phone:302-645-0115
Practice Address - Fax:302-945-4221
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE10000672101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000023219Medicaid
DE10000231176Medicaid