Provider Demographics
NPI:1174694178
Name:ROWE, KAREN SUE (LICSW)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:SUE
Last Name:ROWE
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 1:13 OAK ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1347
Mailing Address - Country:US
Mailing Address - Phone:413-585-8279
Mailing Address - Fax:
Practice Address - Street 1:13 OAK ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1347
Practice Address - Country:US
Practice Address - Phone:413-585-8279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10170181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAROP22362Medicare ID - Type UnspecifiedPSYCHOTHERAPIST