Provider Demographics
NPI:1992810584
Name:MEEKS, KAREN F (LICSW)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:F
Last Name:MEEKS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 STONEY HILL LANE
Mailing Address - Street 2:PO BOX 129
Mailing Address - City:WEST TISBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02575
Mailing Address - Country:US
Mailing Address - Phone:508-696-0863
Mailing Address - Fax:508-696-5949
Practice Address - Street 1:59 STONEY HILL LANE
Practice Address - Street 2:
Practice Address - City:WEST TISBURY
Practice Address - State:MA
Practice Address - Zip Code:02575
Practice Address - Country:US
Practice Address - Phone:508-728-7021
Practice Address - Fax:508-696-5949
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA113011041C0700X
CT0045681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical