Provider Demographics
NPI:1689686560
Name:ROSENFELD, KAREN (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:ROSENFELD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 SCOLES AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1125
Mailing Address - Country:US
Mailing Address - Phone:973-777-7638
Mailing Address - Fax:973-777-9311
Practice Address - Street 1:34-00 LINWOOD RD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-4012
Practice Address - Country:US
Practice Address - Phone:201-794-1771
Practice Address - Fax:201-256-4113
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC050790001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0021784Medicaid
NJ293356 000OtherMAGELLAN ID
NJ270264OtherMHN ID
NJ7345076OtherGHI ID
NJ7465388OtherAETNA ID
NJP-2457102OtherOXFORD ID
NJ1135847OtherMULTI PLAN ID
NJ437366OtherVALUE OPTION ID
NJ1135847OtherMULTI PLAN ID