Provider Demographics
NPI:1992560072
Name:KARPINSKI, MIKAELA NICOLE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MIKAELA
Middle Name:NICOLE
Last Name:KARPINSKI
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 1:422 W ROUTE 66 UNIT 91
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-4393
Mailing Address - Country:US
Mailing Address - Phone:805-795-0751
Mailing Address - Fax:
Practice Address - Street 1:422 W ROUTE 66 UNIT 91
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-4393
Practice Address - Country:US
Practice Address - Phone:805-795-0751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1179701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical