Provider Demographics
NPI:1356670152
Name:KARLSSON, SUSAN M (LICSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:KARLSSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:M
Other - Last Name:LIND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:1009 N CENTER PKWY STE 202
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7178
Mailing Address - Country:US
Mailing Address - Phone:509-551-2492
Mailing Address - Fax:509-278-6451
Practice Address - Street 1:1009 N CENTER PKWY STE 202
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7178
Practice Address - Country:US
Practice Address - Phone:509-551-2492
Practice Address - Fax:509-278-6451
Is Sole Proprietor?:No
Enumeration Date:2009-12-08
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW603207091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical