Provider Demographics
NPI:1972674489
Name:WAINBERG, KAREN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:WAINBERG
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 1:1 LINCOLN STREET
Mailing Address - Street 2:OFFICE #4
Mailing Address - City:BATH
Mailing Address - State:ME
Mailing Address - Zip Code:04530
Mailing Address - Country:US
Mailing Address - Phone:207-449-1939
Mailing Address - Fax:
Practice Address - Street 1:1 LINCOLN ST
Practice Address - Street 2:OFFICE #4
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530-2100
Practice Address - Country:US
Practice Address - Phone:207-449-1939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC34811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical