Provider Demographics
NPI:1831602036
Name:KAREN EIFFERT LCSW INC
Entity type:Organization
Organization Name:KAREN EIFFERT LCSW INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER KAREN EIFFERT LCSW INC.
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LUBELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:720-308-5608
Mailing Address - Street 1:6489 UTE HWY
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-9112
Mailing Address - Country:US
Mailing Address - Phone:720-308-5608
Mailing Address - Fax:720-222-2024
Practice Address - Street 1:1446 HOVER ST.
Practice Address - Street 2:SUITE 203
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-2425
Practice Address - Country:US
Practice Address - Phone:720-308-5608
Practice Address - Fax:720-222-2024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-09
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO000001421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty