Provider Demographics
NPI:1427580166
Name:KINGSLEY, KAREN ROBINSON (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ROBINSON
Last Name:KINGSLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 HURSTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-3945
Mailing Address - Country:US
Mailing Address - Phone:817-751-1907
Mailing Address - Fax:
Practice Address - Street 1:1329 HURSTVIEW DR
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-3945
Practice Address - Country:US
Practice Address - Phone:817-751-1907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-31
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI082981041C0700X
TX044501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical