Provider Demographics
NPI:1568097731
Name:HIGGINS, KARI MICHELLE (LISW-S)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:MICHELLE
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:987 OLD SPRINGFIELD PIKE
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-1235
Mailing Address - Country:US
Mailing Address - Phone:937-626-1849
Mailing Address - Fax:
Practice Address - Street 1:987 OLD SPRINGFIELD PIKE
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-1235
Practice Address - Country:US
Practice Address - Phone:937-626-1849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1801198-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical