Provider Demographics
NPI:1073799706
Name:STOETZER, KAREN TOBY (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:TOBY
Last Name:STOETZER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:895 STATE FARM RD
Mailing Address - Street 2:SUITE 508
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4917
Mailing Address - Country:US
Mailing Address - Phone:828-263-5666
Mailing Address - Fax:828-262-5687
Practice Address - Street 1:719 GREENWAY RD STE 105
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-3118
Practice Address - Country:US
Practice Address - Phone:305-321-1159
Practice Address - Fax:844-314-9910
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0058791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC005879OtherNORTH CAROLINA