Provider Demographics
NPI:1962023978
Name:BARILE-LYONS, KAREN ANNE (LICSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANNE
Last Name:BARILE-LYONS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 SELMA ST
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-4822
Mailing Address - Country:US
Mailing Address - Phone:401-944-2321
Mailing Address - Fax:
Practice Address - Street 1:214 SELMA ST
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-4822
Practice Address - Country:US
Practice Address - Phone:401-944-2321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-30
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW002361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical