MEDICARE: DR. KAREN A WHITE DSW, LMSW

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	088689	NY

General Provider Information

NPI Number	:	1568350676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN A WHITE DSW, LMSW

Provider Business Mailing Address
First Line	:	3420 GUNTHER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-2730
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3420 GUNTHER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-2730
Country	:	US
Telephone Number	:	917-327-4167
Fax Number	:	718-882-5754

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

Provider Enumeration Date	:	06/26/2025
Last Update Date	:	06/26/2025

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