Provider Demographics
NPI:1982763413
Name:KARASIK, SHLOMIT MATAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHLOMIT
Middle Name:MATAN
Last Name:KARASIK
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 1:15204 S JOG RD
Mailing Address - Street 2:STE 303
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-2171
Mailing Address - Country:US
Mailing Address - Phone:561-503-3059
Mailing Address - Fax:561-634-2776
Practice Address - Street 1:7700 CONGRESS AVE STE 1131
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1355
Practice Address - Country:US
Practice Address - Phone:954-675-8465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical