Provider Demographics
NPI:1871473264
Name:BUELVAS GARZON, KAREN PATRICIA (LMSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:PATRICIA
Last Name:BUELVAS GARZON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 3RD ST APT 303B
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-4948
Mailing Address - Country:US
Mailing Address - Phone:347-848-8212
Mailing Address - Fax:
Practice Address - Street 1:2625 3RD ST APT 303B
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-4948
Practice Address - Country:US
Practice Address - Phone:347-848-8212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-05
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY117558-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker