Provider Demographics
NPI:1194814111
Name:SEELEY, KAREN (LCSW, PHD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:SEELEY
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 RIVERSIDE DR APT 1A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7763
Mailing Address - Country:US
Mailing Address - Phone:212-663-3200
Mailing Address - Fax:
Practice Address - Street 1:435 RIVERSIDE DR APT 1A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7763
Practice Address - Country:US
Practice Address - Phone:212-663-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR045193-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health