Provider Demographics
NPI:1710530803
Name:SYLVESTER, KARI A (LCSW)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:A
Last Name:SYLVESTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:A
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, MED, PPSC
Mailing Address - Street 1:463 CHORUS
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-1412
Mailing Address - Country:US
Mailing Address - Phone:858-735-6213
Mailing Address - Fax:
Practice Address - Street 1:463 CHORUS
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-1412
Practice Address - Country:US
Practice Address - Phone:858-735-6213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
CA89601103K00000X, 103TC2200X, 103TS0200X, 1041S0200X, 106H00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist