Provider Demographics
NPI:1780573782
Name:KARANGUTKAR, RIA VISHAL (LSW)
Entity type:Individual
Prefix:
First Name:RIA
Middle Name:VISHAL
Last Name:KARANGUTKAR
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 PHILLIP DR
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1122
Mailing Address - Country:US
Mailing Address - Phone:908-917-7427
Mailing Address - Fax:
Practice Address - Street 1:60 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1649
Practice Address - Country:US
Practice Address - Phone:732-605-6029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07300200104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker