Individual provider Active NPI

Karen Wood Liberato, LCSW, MSW

  • Mental Health Counselor
  • Fairfield, NJ
National Provider Identifier
1679825087
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC01347100 Issued in NJ
Practice address
271 Route 46 W
Suite G-101
Fairfield, NJ 07004-2440
Phone
(973) 276-9040
Fax
(973) 276-9062
NPI assigned
Oct 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC01347100 NJ Primary

Addresses

Primary practice location

271 Route 46 W
Suite G-101
Fairfield, NJ 07004-2440

Mailing address

271 Route 46 W
Suite G-101
Fairfield, NJ 07004-2440
Phone (973) 276-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC01347100NJMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1679825087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 ROUTE 46 W",
            "address_2": "SUITE G-101",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042440",
            "telephone_number": "973-276-9040",
            "fax_number": "973-276-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 ROUTE 46 W",
            "address_2": "SUITE G-101",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042440",
            "telephone_number": "973-276-9040",
            "fax_number": "973-276-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERATO",
        "first_name": "KAREN",
        "middle_name": "WOOD",
        "name_prefix": "Mrs.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC01347100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.