Provider Demographics
NPI:1205277316
Name:JOSEPH, KAREN (LMSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 WILLIAMS AVE
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-1838
Mailing Address - Country:US
Mailing Address - Phone:646-265-0316
Mailing Address - Fax:
Practice Address - Street 1:61 WILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-1838
Practice Address - Country:US
Practice Address - Phone:646-265-0316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72-059074104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker