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NPI Code Detail

MEDICARE: KAREN A SMALL LCSW

MEDICARE: KAREN A SMALL LCSW
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
11041C0700XClinical Social Worker101397NY

General Provider Information

NPI Number : 1407701501
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN A SMALL LCSW
Provider Business Mailing Address
First Line : 7559 263RD ST
Second Line :
City : GLEN OAKS
State : NY
Zip : 11004-1100
Country : US
Telephone Number : 718-470-8359
Fax Number :
Provider Business Practice Location Address
First Line : 7559 263RD ST
Second Line :
City : GLEN OAKS
State : NY
Zip : 11004-1100
Country : US
Telephone Number : 718-470-8359
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ KAREN A SMALL LCSW” Practice Location

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