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NPI 1144844499

NPI 1144844499 : KARINA TSAREVA LCSW : STATEN ISLAND, NY

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General NPI Number Information
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    NPI Number           |    1144844499
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    Entity Type          |    Individual 
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    Provider Name        |    KARINA TSAREVA LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/02/2020
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    Last Update Date     |    01/10/2025
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Provider Practice Location Address
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    Address Line         |    90 BAY STREET LNDG APT 5F 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10301-2660
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    Country              |    US
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    Telephone            |    718-490-6031
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    145 PALISADE ST STE 200 
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    City                 |    DOBBS FERRY
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    State                |    NY
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    Zip                  |    10522-1627
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    091021
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    License Number State |    NY
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