Healthcare Provider Details

I. General information

NPI: 1720188246
Provider Name (Legal Business Name): JOAN F KARRON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 WALKER RD
DOVER DE
19904-2768
US

IV. Provider business mailing address

113 NELLIE LN
MILTON DE
19968-1168
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-2380
  • Fax: 302-674-1299
Mailing address:
  • Phone: 302-684-8525
  • Fax: 302-684-8526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ000170000
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: