Provider Demographics
NPI:1295193290
Name:WORLEY, KARLA MICHELLE (LSW)
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:MICHELLE
Last Name:WORLEY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MISS
Other - First Name:KARLA
Other - Middle Name:MICHELLE
Other - Last Name:DECLUETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4002 WARRENSVILLE CENTER RD
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-6771
Mailing Address - Country:US
Mailing Address - Phone:216-561-8300
Mailing Address - Fax:216-561-8301
Practice Address - Street 1:4002 WARRENSVILLE CENTER RD
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-6771
Practice Address - Country:US
Practice Address - Phone:216-561-8300
Practice Address - Fax:216-561-8301
Is Sole Proprietor?:No
Enumeration Date:2016-02-04
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS1502488104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker