Provider Demographics
NPI:1134794969
Name:SCHLACHTER, KAREN ANN (LCSW-R)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:SCHLACHTER
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7525 210TH ST APT 5N
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-3257
Mailing Address - Country:US
Mailing Address - Phone:917-741-6970
Mailing Address - Fax:
Practice Address - Street 1:7525 210TH ST APT 5N
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-3257
Practice Address - Country:US
Practice Address - Phone:917-741-6970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-24
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR035296-11041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty