Provider Demographics
NPI:1205434537
Name:SAMAROO, KARISHMA DEVI (CASAC MASTERS, LMHC)
Entity type:Individual
Prefix:MS
First Name:KARISHMA
Middle Name:DEVI
Last Name:SAMAROO
Suffix:
Gender:F
Credentials:CASAC MASTERS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2024 WILLIAMSBRIDGE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1631
Mailing Address - Country:US
Mailing Address - Phone:646-455-3693
Mailing Address - Fax:
Practice Address - Street 1:2024 WILLIAMSBRIDGE RD STE 3
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1631
Practice Address - Country:US
Practice Address - Phone:917-992-1569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014036101YM0800X
NY35159101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)