Provider Demographics
NPI:1336263508
Name:HERBERT, KAREN PATRICIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:PATRICIA
Last Name:HERBERT
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 1:17108 GLASSFIELD DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-5272
Mailing Address - Country:US
Mailing Address - Phone:201-317-9899
Mailing Address - Fax:972-964-3044
Practice Address - Street 1:17108 GLASSFIELD DR
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-5272
Practice Address - Country:US
Practice Address - Phone:201-317-9899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC051932001041C0700X
TX514801041C0700X
NCC0122081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical