Provider Demographics
NPI:1225403769
Name:HALL, KARA (LCSW)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23295 US HWY 14
Mailing Address - Street 2:
Mailing Address - City:RICHLAND CENTER
Mailing Address - State:WI
Mailing Address - Zip Code:53581-8911
Mailing Address - Country:US
Mailing Address - Phone:608-647-4705
Mailing Address - Fax:608-647-8979
Practice Address - Street 1:23295 US HWY 14
Practice Address - Street 2:
Practice Address - City:RICHLAND CENTER
Practice Address - State:WI
Practice Address - Zip Code:53581-8911
Practice Address - Country:US
Practice Address - Phone:608-647-4705
Practice Address - Fax:608-647-8979
Is Sole Proprietor?:No
Enumeration Date:2015-12-09
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8703-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical