Provider Demographics
NPI:1174811673
Name:PERLSTEIN, KAREN ILENE (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ILENE
Last Name:PERLSTEIN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 MILLPOND CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1374
Mailing Address - Country:US
Mailing Address - Phone:410-375-6038
Mailing Address - Fax:
Practice Address - Street 1:2 RESERVOIR CIRCLE
Practice Address - Street 2:SUITE 201
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208
Practice Address - Country:US
Practice Address - Phone:410-375-6038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD119671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical