Provider Demographics
NPI:1407802176
Name:COTTINGHAM, KAREN S (MSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:S
Last Name:COTTINGHAM
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 124
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28793-0124
Mailing Address - Country:US
Mailing Address - Phone:828-697-0160
Mailing Address - Fax:828-697-6582
Practice Address - Street 1:1700 OLD VILLAGE RD STE C
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3736
Practice Address - Country:US
Practice Address - Phone:828-697-0160
Practice Address - Fax:828-697-6582
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0035971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2873302Medicare ID - Type Unspecified