Provider Demographics
NPI:1558811927
Name:MCCALL, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:MCCALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 ROYAL GRANT WAY
Mailing Address - Street 2:180 ROYAL GRANT WAY
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-6110
Mailing Address - Country:US
Mailing Address - Phone:302-531-5630
Mailing Address - Fax:
Practice Address - Street 1:180 ROYAL GRANT WAY
Practice Address - Street 2:180 ROYAL GRANT WAY
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-6110
Practice Address - Country:US
Practice Address - Phone:302-531-5630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker