Provider Demographics
NPI:1053371708
Name:MEISNER, KARIN ALEXANDRA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:ALEXANDRA
Last Name:MEISNER
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 1:130 HEDGEROW DR
Mailing Address - Street 2:APT 5
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-4431
Mailing Address - Country:US
Mailing Address - Phone:716-998-2088
Mailing Address - Fax:716-652-5260
Practice Address - Street 1:6195 W QUAKER ST
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-2640
Practice Address - Country:US
Practice Address - Phone:716-998-2088
Practice Address - Fax:716-652-5260
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPO58313-11041C0700X
NY230397-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered163W00000XNursing Service ProvidersRegistered Nurse