Provider Demographics
NPI:1497931133
Name:BLYTHE, KAREN BARNES (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:BARNES
Last Name:BLYTHE
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 1:258 LOPES CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-3527
Mailing Address - Country:US
Mailing Address - Phone:984-212-5653
Mailing Address - Fax:828-349-8983
Practice Address - Street 1:258 LOPES CIR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-3527
Practice Address - Country:US
Practice Address - Phone:984-212-5653
Practice Address - Fax:828-349-8983
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-11
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0108571041C0700X
NCP0095911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical