Provider Demographics
NPI:1275840688
Name:ZAMORA, KAREN MICHELLE DOBSON (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MICHELLE DOBSON
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:MICHELLE
Other - Last Name:DOBSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2689 FRANKFORT RD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-8611
Mailing Address - Country:US
Mailing Address - Phone:859-537-9779
Mailing Address - Fax:502-868-9312
Practice Address - Street 1:2689 FRANKFORT RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-8611
Practice Address - Country:US
Practice Address - Phone:859-537-9779
Practice Address - Fax:502-868-9312
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100265970Medicaid