Provider Demographics
NPI:1790422707
Name:KOROTZER, KAREN SLEIGHT (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:SLEIGHT
Last Name:KOROTZER
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 1:32 WOODSTREAM CT
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-2713
Mailing Address - Country:US
Mailing Address - Phone:518-573-1846
Mailing Address - Fax:
Practice Address - Street 1:32 WOODSTREAM CT
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-2713
Practice Address - Country:US
Practice Address - Phone:518-573-1846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0535551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical