Provider Demographics
NPI:1821537937
Name:KREITZ, KAREN ANN (MED, MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:KREITZ
Suffix:
Gender:F
Credentials:MED, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 CAROL CT
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2525
Mailing Address - Country:US
Mailing Address - Phone:908-347-2817
Mailing Address - Fax:
Practice Address - Street 1:347 LINCOLN AVE E
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-6100
Practice Address - Country:US
Practice Address - Phone:908-347-2817
Practice Address - Fax:908-272-2374
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-22
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC058129001041C0700X
NJ44SL06169500104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker