Provider Demographics
NPI:1316050677
Name:WHIPP, KAREN JEAN (LCSW)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:JEAN
Last Name:WHIPP
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 DEWBERRY AVE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-4701
Mailing Address - Country:US
Mailing Address - Phone:607-321-1998
Mailing Address - Fax:
Practice Address - Street 1:2223 LINDEN ST STE 101
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-4806
Practice Address - Country:US
Practice Address - Phone:484-246-8486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR070084-11041C0700X
PACW0246951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA9095Medicare ID - Type Unspecified