Provider Demographics
NPI:1679825087
Name:LIBERATO, KAREN WOOD (LCSW, MSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:WOOD
Last Name:LIBERATO
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 ROUTE 46 W
Mailing Address - Street 2:SUITE G-101
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004-2440
Mailing Address - Country:US
Mailing Address - Phone:973-276-9040
Mailing Address - Fax:973-276-9062
Practice Address - Street 1:271 ROUTE 46 W
Practice Address - Street 2:SUITE G-101
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-2440
Practice Address - Country:US
Practice Address - Phone:973-276-9040
Practice Address - Fax:973-276-9062
Is Sole Proprietor?:No
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC01347100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health