Provider Demographics
NPI:1356483234
Name:CARMODY, KAREN APPLEYARD (PHD, MSW)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:APPLEYARD
Last Name:CARMODY
Suffix:
Gender:F
Credentials:PHD, MSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:APPLEYARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, MSW
Mailing Address - Street 1:1121 W CHAPEL HILL ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-3079
Mailing Address - Country:US
Mailing Address - Phone:919-385-0731
Mailing Address - Fax:919-419-9353
Practice Address - Street 1:1121 W CHAPEL HILL ST
Practice Address - Street 2:SUITE 100
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3079
Practice Address - Country:US
Practice Address - Phone:919-385-0731
Practice Address - Fax:919-419-9353
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0029981041C0700X
NC3457103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical