Provider Demographics
NPI:1538990411
Name:KARUNA LCSW PLLC
Entity type:Organization
Organization Name:KARUNA LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CLINICAL SUPERVISOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIANA MAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYE
Authorized Official - Suffix:
Authorized Official - Credentials:DSW, LCSW
Authorized Official - Phone:518-227-0589
Mailing Address - Street 1:PO BOX 505
Mailing Address - Street 2:
Mailing Address - City:MILLERTON
Mailing Address - State:NY
Mailing Address - Zip Code:12546-0505
Mailing Address - Country:US
Mailing Address - Phone:518-227-0589
Mailing Address - Fax:
Practice Address - Street 1:112 GUN CLUB ROAD
Practice Address - Street 2:
Practice Address - City:MILLERTON
Practice Address - State:NY
Practice Address - Zip Code:12546
Practice Address - Country:US
Practice Address - Phone:518-227-0589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty