Provider Demographics
NPI:1902199722
Name:SIMPSON, KAREN ALICIA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ALICIA
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ALICIA
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:1 BRALAN CT
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-1614
Mailing Address - Country:US
Mailing Address - Phone:240-838-9576
Mailing Address - Fax:
Practice Address - Street 1:1301 PICCARD DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4320
Practice Address - Country:US
Practice Address - Phone:240-777-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-26
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD131051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical