Provider Demographics
NPI:1245653708
Name:LASZAKOVITS, KARIN DAVIDSON (MSW, LSW)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:DAVIDSON
Last Name:LASZAKOVITS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 N HANOVER ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-1608
Mailing Address - Country:US
Mailing Address - Phone:717-383-7275
Mailing Address - Fax:
Practice Address - Street 1:5351C JAYCEE AVE
Practice Address - Street 2:STE 1
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-2997
Practice Address - Country:US
Practice Address - Phone:717-657-2080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW128602104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker