1932293206 NPI number — MS. KAREN SUE FRANKLIN LICSW

Table of content: BRADLEY M SLYWKA MD (NPI 1477574739)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932293206 NPI number — MS. KAREN SUE FRANKLIN LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRANKLIN
Provider First Name:
KAREN
Provider Middle Name:
SUE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LICSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932293206
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
795 COLUMBUS AVENUE
Provider Second Line Business Mailing Address:
11D
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10025
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-348-4863
Provider Business Mailing Address Fax Number:
413-667-8746

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
795 COLUMBUS AVENUE
Provider Second Line Business Practice Location Address:
11D
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-203-9312
Provider Business Practice Location Address Fax Number:
413-585-1355
Provider Enumeration Date:
10/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  105113 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: MA105113 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P2030201 . This is a "MEDICARE-PTAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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