Provider Demographics
NPI:1982928263
Name:FURIA, KAREN L (LICSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:FURIA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:L
Other - Last Name:FURIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:1960 COMMONWEALTH AVE APT 27
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-5811
Mailing Address - Country:US
Mailing Address - Phone:617-249-4564
Mailing Address - Fax:
Practice Address - Street 1:1960 COMMONWEALTH AVE APT 27
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-5811
Practice Address - Country:US
Practice Address - Phone:617-249-4564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-16
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA215420104100000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker