MEDICARE: KAREN POCH LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	093038	NY
2	1041C0700X	Clinical Social Worker	097855	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	093038	OTHER	NY	LMSW

General Provider Information

NPI Number	:	1326502337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN POCH LCSW

Provider Business Mailing Address
First Line	:	171 23RD STREET
Second Line	:	#GARDEN
City	:	BROOKLYN
State	:	NY
Zip	:	11232
Country	:	US
Telephone Number	:	929-400-5828
Fax Number	:

Provider Business Practice Location Address
First Line	:	126 WASHINGTON PL
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10014-6819
Country	:	US
Telephone Number	:	607-768-3424
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2019
Last Update Date	:	08/02/2024

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Directions to “ KAREN POCH LCSW” Practice Location

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