Provider Demographics
NPI:1245419050
Name:LAIDLAW, KAREN SUE (MSSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:SUE
Last Name:LAIDLAW
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 SIOUX TER
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-5543
Mailing Address - Country:US
Mailing Address - Phone:615-977-8893
Mailing Address - Fax:
Practice Address - Street 1:3550 BRICK CHURCH PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2002
Practice Address - Country:US
Practice Address - Phone:615-227-8070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010839911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical