Provider Demographics
NPI:1790052462
Name:WINKLEMAN FURMAN, KAREN (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:WINKLEMAN FURMAN
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 1:2680 BAYSHORE PKWY STE 301
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-1020
Mailing Address - Country:US
Mailing Address - Phone:650-678-0484
Mailing Address - Fax:
Practice Address - Street 1:2680 BAYSHORE PKWY STE 301
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-1020
Practice Address - Country:US
Practice Address - Phone:650-678-0484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-24
Last Update Date:2011-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS143211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical