Provider Demographics
NPI:1033231196
Name:KARMIN, LISA S (MSW)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:S
Last Name:KARMIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:S
Other - Last Name:SPRAYREGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:9 APPELO COURT
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07642
Mailing Address - Country:US
Mailing Address - Phone:201-722-0178
Mailing Address - Fax:201-722-0606
Practice Address - Street 1:9 APPELO COURT
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:NJ
Practice Address - Zip Code:07642
Practice Address - Country:US
Practice Address - Phone:201-722-0178
Practice Address - Fax:201-722-0606
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC004015001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ117104OtherVALUE OPTIONS
NJ8848714OtherOXFORD
NJ677788Medicare ID - Type Unspecified