Provider Demographics
NPI:1750472247
Name:ZILCOSKI, KAREN FRANCES (LCSWC CAS)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:FRANCES
Last Name:ZILCOSKI
Suffix:
Gender:F
Credentials:LCSWC CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 LAGRANGE ST
Mailing Address - Street 2:
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-3241
Mailing Address - Country:US
Mailing Address - Phone:240-418-0057
Mailing Address - Fax:
Practice Address - Street 1:110 HARTWELL AVE STE 330
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421
Practice Address - Country:US
Practice Address - Phone:781-551-0999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1214641041C0700X
MD089301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA121464OtherSOCIAL WORK LICENSE