Provider Demographics
NPI:1891826491
Name:GOLDEN, KAREN (MSW, LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:MSW, LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 W 95TH ST APT 1A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6612
Mailing Address - Country:US
Mailing Address - Phone:917-623-9205
Mailing Address - Fax:425-871-2360
Practice Address - Street 1:150 WEST 95TH STREET
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6612
Practice Address - Country:US
Practice Address - Phone:917-623-9205
Practice Address - Fax:425-871-2360
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR043921-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR043921-1OtherLCSW
NYR043921-1OtherLCSW