Provider Demographics
NPI:1346009792
Name:WOLLER, KAREN (LCSW-C)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:WOLLER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 CAITLINS WAY
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-3733
Mailing Address - Country:US
Mailing Address - Phone:443-210-1479
Mailing Address - Fax:
Practice Address - Street 1:540 RIVERSIDE DR STE 7
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5352
Practice Address - Country:US
Practice Address - Phone:410-251-5195
Practice Address - Fax:410-548-3341
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
27632101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health