Provider Demographics
NPI:1265517973
Name:MORGENSTERN, KAREN (LCSW, CASAC)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:MORGENSTERN
Suffix:
Gender:F
Credentials:LCSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 CAPTAINS WAY
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-8104
Mailing Address - Country:US
Mailing Address - Phone:631-969-1212
Mailing Address - Fax:631-969-1212
Practice Address - Street 1:267 MIDDLE COUNTRY ROAD
Practice Address - Street 2:BLDG B
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787
Practice Address - Country:US
Practice Address - Phone:631-969-1212
Practice Address - Fax:631-969-1212
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7105101YA0400X
NYPR-039852-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01475410Medicaid
NYN48901Medicare ID - Type UnspecifiedLCSW