Healthcare Provider Details

I. General information

NPI: 1982928263
Provider Name (Legal Business Name): KAREN L FURIA LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN L FURIA LICSW

II. Dates (important events)

Enumeration Date: 03/16/2010
Last Update Date: 03/22/2021
Certification Date: 03/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1960 COMMONWEALTH AVE APT 27
BRIGHTON MA
02135-5811
US

IV. Provider business mailing address

1960 COMMONWEALTH AVE APT 27
BRIGHTON MA
02135-5811
US

V. Phone/Fax

Practice location:
  • Phone: 617-249-4564
  • Fax:
Mailing address:
  • Phone: 617-249-4564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number215420
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number215420
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: