MEDICARE: KAREN S. VOSS LCSW-R

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	040021R	NY

General Provider Information

NPI Number	:	1184616781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN S. VOSS LCSW-R

Provider Business Mailing Address
First Line	:	726 COLUMBIA TPKE
Second Line	:
City	:	EAST GREENBUSH
State	:	NY
Zip	:	12061-2215
Country	:	US
Telephone Number	:	518-477-9630
Fax Number	:

Provider Business Practice Location Address
First Line	:	726 COLUMBIA TPKE
Second Line	:
City	:	EAST GREENBUSH
State	:	NY
Zip	:	12061-2215
Country	:	US
Telephone Number	:	518-477-9630
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	07/08/2007

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