Provider Demographics
NPI:1922146646
Name:BYRNES, KARI A (LCSW)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:A
Last Name:BYRNES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:KARI
Other - Middle Name:A
Other - Last Name:MARINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21 DORE CT
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-2614
Mailing Address - Country:US
Mailing Address - Phone:917-846-8315
Mailing Address - Fax:
Practice Address - Street 1:21 DORE CT
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-2614
Practice Address - Country:US
Practice Address - Phone:917-846-8315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR056401-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical