Provider Demographics
NPI:1912001496
Name:FRALEY, KAREN W (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:W
Last Name:FRALEY
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:PO BOX 878
Mailing Address - Street 2:
Mailing Address - City:KIMBERTON
Mailing Address - State:PA
Mailing Address - Zip Code:19442-0878
Mailing Address - Country:US
Mailing Address - Phone:610-827-1641
Mailing Address - Fax:610-827-1671
Practice Address - Street 1:47 MARCHWOOD RD
Practice Address - Street 2:SUITE 1-E
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1835
Practice Address - Country:US
Practice Address - Phone:610-827-1641
Practice Address - Fax:610-524-1211
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW007344L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01484400Medicaid