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NPI Code Detail

MEDICARE: KAREN POSSESSKY LCSW

MEDICARE:   KAREN  POSSESSKY  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 Worker51036TX
21041C0700XClinical Social WorkerLC22014ME

General Provider Information

NPI Number : 1770856544
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN POSSESSKY LCSW
Provider Business Mailing Address
First Line : 5612 SMU BLVD
Second Line : SUITE 208
City : DALLAS
State : TX
Zip : 75206-5098
Country : US
Telephone Number : 972-971-5279
Fax Number : 214-810-7076
Provider Business Practice Location Address
First Line : 30 HOULTON ST
Second Line :
City : PATTEN
State : ME
Zip : 04765-3035
Country : US
Telephone Number : 207-538-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2012
Last Update Date : 02/07/2023

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Directions to “ KAREN POSSESSKY LCSW” Practice Location

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