Provider Demographics
NPI:1033351515
Name:KAREN STEVENS LCSW PC
Entity Type:Organization
Organization Name:KAREN STEVENS LCSW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:303-725-8159
Mailing Address - Street 1:9101 PEARL ST
Mailing Address - Street 2:SUITE 218
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4366
Mailing Address - Country:US
Mailing Address - Phone:303-725-8159
Mailing Address - Fax:
Practice Address - Street 1:9101 PEARL ST
Practice Address - Street 2:SUITE 218
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4366
Practice Address - Country:US
Practice Address - Phone:303-725-8159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-31
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW-9927831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty