Provider Demographics
NPI:1710009097
Name:ZIMMERMAN, KAREN BETH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:BETH
Last Name:ZIMMERMAN
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 1:1 BETHANY RD STE 10B
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1647
Mailing Address - Country:US
Mailing Address - Phone:732-570-7110
Mailing Address - Fax:732-856-9401
Practice Address - Street 1:1 BETHANY RD STE 10B
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1647
Practice Address - Country:US
Practice Address - Phone:732-570-7110
Practice Address - Fax:732-856-9401
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2015-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC047250001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical