Provider Demographics
NPI:1720201999
Name:STRAUB, KAREN SCOTT (LICSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SCOTT
Last Name:STRAUB
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MAIN ST
Mailing Address - Street 2:STE 301
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-2822
Mailing Address - Country:US
Mailing Address - Phone:603-489-3535
Mailing Address - Fax:
Practice Address - Street 1:100 MAIN ST
Practice Address - Street 2:STE 301
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2822
Practice Address - Country:US
Practice Address - Phone:603-489-3535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1157681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical