Provider Demographics
NPI:1215652086
Name:LEMUS, KAREN MILAGRO (LCSW-C)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MILAGRO
Last Name:LEMUS
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 1:17 E HAMBURG ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-4035
Mailing Address - Country:US
Mailing Address - Phone:240-498-0744
Mailing Address - Fax:
Practice Address - Street 1:17 E HAMBURG ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-4035
Practice Address - Country:US
Practice Address - Phone:240-498-0744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD232051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical