Provider Demographics
NPI:1306353164
Name:PIMENTEL, KAREN C (LCSW, LCDC-I, CLYL)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:C
Last Name:PIMENTEL
Suffix:
Gender:F
Credentials:LCSW, LCDC-I, CLYL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 E JACKSON ST STE 102
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-6800
Mailing Address - Country:US
Mailing Address - Phone:956-346-4678
Mailing Address - Fax:877-520-1692
Practice Address - Street 1:302 E JACKSON ST STE 102
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-6800
Practice Address - Country:US
Practice Address - Phone:956-346-4678
Practice Address - Fax:877-520-1692
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-02
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX678741041C0700X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program