Provider Demographics
NPI:1083890677
Name:MCGUIRE, KAREN BERGSIEKER (LSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:BERGSIEKER
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:BERGSIEKER
Other - Last Name:KRINOV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1388 TAFT PL
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-6319
Mailing Address - Country:US
Mailing Address - Phone:513-642-7640
Mailing Address - Fax:
Practice Address - Street 1:1131 CENTRAL AVE
Practice Address - Street 2:LEVEL M
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-4001
Practice Address - Country:US
Practice Address - Phone:513-422-7016
Practice Address - Fax:513-422-5263
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0701132104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker