Provider Demographics
NPI:1225613888
Name:KRANBUEHL, KAREN (LCSWA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:KRANBUEHL
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 GUNSTON PL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-3948
Mailing Address - Country:US
Mailing Address - Phone:757-232-5244
Mailing Address - Fax:
Practice Address - Street 1:1330 SAINT MARYS ST STE 340
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-3334
Practice Address - Country:US
Practice Address - Phone:919-229-9834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0145491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical