Provider Demographics
NPI:1760440838
Name:ROSENBAUM, KAREN H (LICSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:H
Last Name:ROSENBAUM
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8019
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01102-8000
Mailing Address - Country:US
Mailing Address - Phone:866-431-4077
Mailing Address - Fax:413-774-7448
Practice Address - Street 1:329 CONWAY ST
Practice Address - Street 2:GREENFIELD HEALTH CENTER
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1526
Practice Address - Country:US
Practice Address - Phone:413-774-6301
Practice Address - Fax:413-774-6528
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1109411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA120517OtherFALLON COMMUNITY HEALTH PLAN
MA2174123OtherCIGNA BEHAVIORAL HEALTH
MA063065000OtherMAGELLAN BEHAVIORAL HEALT
MA33427OtherHEALTH NEW ENGLAND
MA467264OtherTUFTS HEALTH PLAN
MA7760526OtherAETNA BEHAVIORAL HEALTH
MAP05272OtherBLUE CROSS BLUE SHIELD
MA496706OtherVALUE OPTIONS
MA2174123OtherCIGNA BEHAVIORAL HEALTH
MA120517OtherFALLON COMMUNITY HEALTH PLAN