Provider Demographics
NPI:1548276652
Name:SIEGEL, KAREN W (MSW LICSW)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:W
Last Name:SIEGEL
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 CHELMSFORD ST
Mailing Address - Street 2:FAMILY ASSOCIATES OF MERRIMACK VALLEY
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824
Mailing Address - Country:US
Mailing Address - Phone:978-256-1467
Mailing Address - Fax:978-256-7465
Practice Address - Street 1:201 CHELMSFORD ST
Practice Address - Street 2:FAMILY ASSOCIATES OF MERRIMACK VALLEY
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824
Practice Address - Country:US
Practice Address - Phone:978-256-1467
Practice Address - Fax:978-256-7465
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA403152104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker