Provider Demographics
NPI:1508906074
Name:SIU, KARLA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:SIU
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 EAST CHAPEL HILL ST.
Mailing Address - Street 2:EL FUTURO
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701
Mailing Address - Country:US
Mailing Address - Phone:919-688-7101
Mailing Address - Fax:919-688-7102
Practice Address - Street 1:110 W MAIN ST
Practice Address - Street 2:SUITE 2H
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-2026
Practice Address - Country:US
Practice Address - Phone:919-338-1939
Practice Address - Fax:919-338-2729
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0058981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical