Provider Demographics
NPI:1184053936
Name:DORAN, KAREN (LSW)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:DORAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 E HARLEQUIN DR
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-4220
Mailing Address - Country:US
Mailing Address - Phone:609-652-3154
Mailing Address - Fax:
Practice Address - Street 1:812 E HARLEQUIN DR
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-4220
Practice Address - Country:US
Practice Address - Phone:609-652-3154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL04685300104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker