Provider Demographics
NPI:1073770186
Name:SAVRIN, KAREN KATHLEEN (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:KATHLEEN
Last Name:SAVRIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:KATHLEEN
Other - Last Name:BELANOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11795 NORTHFALL LN STE 601
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-7968
Mailing Address - Country:US
Mailing Address - Phone:770-880-9209
Mailing Address - Fax:678-566-0743
Practice Address - Street 1:11795 NORTHFALL LN STE 601
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-7968
Practice Address - Country:US
Practice Address - Phone:770-880-9209
Practice Address - Fax:678-566-0743
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-18
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0011341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
80BBDNKMedicare PIN