Provider Demographics
NPI:1205151081
Name:WERBIN ECKERT, KAREN L (LCSW)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:WERBIN ECKERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:L
Other - Last Name:WERBIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-0035
Mailing Address - Country:US
Mailing Address - Phone:516-456-0942
Mailing Address - Fax:516-625-9436
Practice Address - Street 1:7925 WINCHESTER BLVD
Practice Address - Street 2:BLDG 73
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-2128
Practice Address - Country:US
Practice Address - Phone:718-265-4395
Practice Address - Fax:718-254-3951
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO25606-11041C0700X
NY0256061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical