Provider Demographics
NPI:1013000959
Name:HILBERT, KAREN EILEEN (LICSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:EILEEN
Last Name:HILBERT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 WAINWRIGHT DRIVE
Mailing Address - Street 2:WALLA WALLA VAMC
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-3978
Mailing Address - Country:US
Mailing Address - Phone:509-966-0199
Mailing Address - Fax:509-966-4266
Practice Address - Street 1:YAKIMA CBOC
Practice Address - Street 2:717 FRUITVALE BLVD
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908
Practice Address - Country:US
Practice Address - Phone:509-966-0199
Practice Address - Fax:509-966-4266
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000078271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical