Provider Demographics
NPI:1871624486
Name:WEINBERGER, KAREN JEAN (LCSW)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:JEAN
Last Name:WEINBERGER
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 1:118 SURREY LN
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-3227
Mailing Address - Country:US
Mailing Address - Phone:415-923-0678
Mailing Address - Fax:
Practice Address - Street 1:189 MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-2810
Practice Address - Country:US
Practice Address - Phone:415-923-0678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 137941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical