Provider Demographics
NPI:1578840914
Name:WARREN, KARMA DAVIS (MSW, CSWM, P-LCSW)
Entity Type:Individual
Prefix:MS
First Name:KARMA
Middle Name:DAVIS
Last Name:WARREN
Suffix:
Gender:F
Credentials:MSW, CSWM, P-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2317 EXECUTIVE CIR STE B
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-3762
Mailing Address - Country:US
Mailing Address - Phone:252-353-4968
Mailing Address - Fax:252-353-4967
Practice Address - Street 1:2317 EXECUTIVE CIR STE B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-3762
Practice Address - Country:US
Practice Address - Phone:252-353-4968
Practice Address - Fax:252-353-4967
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0067551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical