Healthcare Provider Details

I. General information

NPI: 1912001496
Provider Name (Legal Business Name): KAREN W. FRALEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 MARCHWOOD RD SUITE 1-E
EXTON PA
19341-1835
US

IV. Provider business mailing address

PO BOX 878
KIMBERTON PA
19442-0878
US

V. Phone/Fax

Practice location:
  • Phone: 610-827-1641
  • Fax: 610-524-1211
Mailing address:
  • Phone: 610-827-1641
  • Fax: 610-827-1671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW007344L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier01484400
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: