Provider Demographics
NPI:1255091070
Name:PICKER-KARRAS, MICHELE J (LCSW)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:J
Last Name:PICKER-KARRAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 GLEANER LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-5107
Mailing Address - Country:US
Mailing Address - Phone:516-297-9202
Mailing Address - Fax:
Practice Address - Street 1:21 GLEANER LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-5107
Practice Address - Country:US
Practice Address - Phone:516-297-9202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-20
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0513021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical