Provider Demographics
NPI:1497909394
Name:BROWN, KAREN LYNNE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LYNNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:LYNNE
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:4588 CONWAY RD
Mailing Address - Street 2:
Mailing Address - City:EAST BETHANY
Mailing Address - State:NY
Mailing Address - Zip Code:14054-9726
Mailing Address - Country:US
Mailing Address - Phone:585-409-7549
Mailing Address - Fax:866-240-5916
Practice Address - Street 1:4588 CONWAY RD
Practice Address - Street 2:
Practice Address - City:EAST BETHANY
Practice Address - State:NY
Practice Address - Zip Code:14054-9726
Practice Address - Country:US
Practice Address - Phone:585-409-7549
Practice Address - Fax:866-240-5916
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY078306-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical