Healthcare Provider Details

I. General information

NPI: 1811122286
Provider Name (Legal Business Name): KARIN M ESCALANTE LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2009
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 FOXCROFT AVE STE 104
MARTINSBURG WV
25401-5302
US

IV. Provider business mailing address

228 E WASHINGTON ST
HAGERSTOWN MD
21740-5721
US

V. Phone/Fax

Practice location:
  • Phone: 304-513-3495
  • Fax:
Mailing address:
  • Phone: 301-745-6687
  • Fax: 301-739-0041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13320
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberDP00946919
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: