Provider Demographics
NPI:1538357884
Name:LEVIN, KAREN MOSER (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MOSER
Last Name:LEVIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 MCDANIEL DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-6671
Mailing Address - Country:US
Mailing Address - Phone:610-692-9311
Mailing Address - Fax:610-692-4997
Practice Address - Street 1:1503 MCDANIEL DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-6671
Practice Address - Country:US
Practice Address - Phone:610-692-9311
Practice Address - Fax:610-692-4997
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0135781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA085513Medicare PIN