Healthcare Provider Details

I. General information

NPI: 1003525445
Provider Name (Legal Business Name): KAREN XIOMARA PIERRE-LOUIS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 SARATOGA ST
BOSTON MA
02128-1414
US

IV. Provider business mailing address

17 RAY ST
LYNN MA
01905-2715
US

V. Phone/Fax

Practice location:
  • Phone: 617-466-6110
  • Fax:
Mailing address:
  • Phone: 857-247-4819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberLCSW229373
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: