Provider Demographics
NPI:1245449586
Name:MAJERCSIK, KAREN RACHEL (P-LCSW)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:RACHEL
Last Name:MAJERCSIK
Suffix:
Gender:F
Credentials:P-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2307 LAWTON BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-2940
Mailing Address - Country:US
Mailing Address - Phone:704-365-1941
Mailing Address - Fax:
Practice Address - Street 1:5007 PROVIDENCE RD STE 105
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-5907
Practice Address - Country:US
Practice Address - Phone:704-364-6594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0039951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical