Provider Demographics
NPI:1851445233
Name:BRAND, KAREN BETH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:BETH
Last Name:BRAND
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 1:68 FOX HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-1118
Mailing Address - Country:US
Mailing Address - Phone:973-726-0066
Mailing Address - Fax:
Practice Address - Street 1:68 FOX HOLLOW RD
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1118
Practice Address - Country:US
Practice Address - Phone:973-726-0066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC04563200104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker