Provider Demographics
NPI:1710544036
Name:THORPE, KAREN ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:THORPE
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 1:88 MAIN ST S # A205
Mailing Address - Street 2:
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-2276
Mailing Address - Country:US
Mailing Address - Phone:203-262-0245
Mailing Address - Fax:203-262-8152
Practice Address - Street 1:88 MAIN ST S # A205
Practice Address - Street 2:
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-2276
Practice Address - Country:US
Practice Address - Phone:203-262-0245
Practice Address - Fax:203-262-8152
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-22
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
CT106311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT10631OtherLICENSE