Doctor Name: | MRS. KAREN ELAINE SMITH |
NPI Number: | 1073770590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SW000411 |
Business Practice Address: | 1203 Hauck Drive Rolla Psychological Associates Rolla, MO - 65401 |
Business Phone Number: | 5733648330 |
Business Fax Number: | 5733648330 |
Mailing Address: | 1203 Hauck Drive, Rolla Psychological Associates ROLLA |
State: | MO |
Postal Code: | 65401 |
Phone Number: | 5733648330 |
Fax Number: | 5733648330 |
NPI Enumeration Date: | 05/21/2008 |
NPI Last Update Date: | 05/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW000411 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |