Doctor Name: | KAREN SPENCE |
NPI Number: | 1427091974 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 005922 |
Business Practice Address: | 92 Vine St New Britain, CT - 060521433 |
Business Phone Number: | 8602239291 |
Business Fax Number: | 8602233111 |
Mailing Address: | 149 Chestnut St, Apt B2 MANCHESTER |
State: | CT |
Postal Code: | 060405950 |
Phone Number: | 8608827362 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 05/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 005922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |