Provider Demographics
NPI:1972539542
Name:VERBEKE, KAREN (LCSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:VERBEKE
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:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:LEDERACH
Mailing Address - State:PA
Mailing Address - Zip Code:19450-0218
Mailing Address - Country:US
Mailing Address - Phone:215-256-9150
Mailing Address - Fax:215-256-9850
Practice Address - Street 1:690 HARLEYSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:LEDERACH
Practice Address - State:PA
Practice Address - Zip Code:19450-0218
Practice Address - Country:US
Practice Address - Phone:215-256-9150
Practice Address - Fax:215-256-9850
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW014820101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health