Provider Demographics
NPI:1700343225
Name:GORALSKI, KARA NICHOLE (LCSW-C)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:NICHOLE
Last Name:GORALSKI
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 MAPLE TREE DR APT 3B
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-8574
Mailing Address - Country:US
Mailing Address - Phone:410-703-1454
Mailing Address - Fax:
Practice Address - Street 1:1919 N BROADWAY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-1432
Practice Address - Country:US
Practice Address - Phone:410-396-9343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14188104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker