Provider Demographics
NPI:1538528419
Name:LUBELL, KAREN LYNN (LCSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:LUBELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:LYNN
Other - Last Name:EIFFERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:6489 UTE HWY
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-9112
Mailing Address - Country:US
Mailing Address - Phone:720-308-5608
Mailing Address - Fax:
Practice Address - Street 1:1446 HOVER ST STE 203
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-2485
Practice Address - Country:US
Practice Address - Phone:720-308-5608
Practice Address - Fax:720-222-2024
Is Sole Proprietor?:No
Enumeration Date:2016-02-19
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO000001421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical