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Provider Information for 1770856544


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KAREN POSSESSKY LCSW


Sex: Female

NPI: 1770856544
Last Updated: 2023-02-07
Certification Date: 2023-02-07

Details

NameValue
NPI1770856544
Enumeration Date2012-02-09
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 5612 SMU BLVD
SUITE 208
DALLAS, TX 75206-5098
United States

Phone: 972-971-5279 | Fax:214-810-7076
 
Primary Practice Address 30 HOULTON ST
PATTEN, ME 04765-3035
United States

Phone: 207-538-3700 | Fax:
 
Secondary Practice Address(es)

5612 SMU BLVD
SUITE 208
DALLAS, TX 75206-5098
United States

Phone: 972-971-5279 | Fax:214-810-7076
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalTX51036
Yes 1041C0700X - Social Worker - ClinicalMELC22014