Provider Demographics
NPI:1497895502
Name:LEDFORD, KAREN S (LMSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:LEDFORD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 W 29TH ST STE 10
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-6973
Mailing Address - Country:US
Mailing Address - Phone:616-219-8286
Mailing Address - Fax:855-887-3889
Practice Address - Street 1:205 W 29TH ST STE 10
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-6973
Practice Address - Country:US
Practice Address - Phone:616-219-8286
Practice Address - Fax:855-887-3889
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010762731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical