Doctor Name: | MS. KAREN K PORTER |
NPI Number: | 1225329741 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LSW0000000078 |
Business Practice Address: | 313 Boynton Dr Ringgold, GA - 307362737 |
Business Phone Number: | 7069353926 |
Business Fax Number: | 7069353930 |
Mailing Address: | 2550 Windy Hill Rd Se, Ste 215 MARIETTA |
State: | GA |
Postal Code: | 300678665 |
Phone Number: | 7708508464 |
Fax Number: | 7708509727 |
NPI Enumeration Date: | 05/02/2011 |
NPI Last Update Date: | 07/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LSW0000000078 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |