Provider Demographics
NPI:1770171993
Name:REED, KAREN (LICSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11821 PARKLAWN DR STE 250
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2539
Mailing Address - Country:US
Mailing Address - Phone:301-650-5943
Mailing Address - Fax:
Practice Address - Street 1:11821 PARKLAWN DR STE 250
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2539
Practice Address - Country:US
Practice Address - Phone:301-650-5943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500820471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCLC50080658OtherLICSW
MD15773OtherLMSW