Provider Demographics
NPI:1629130471
Name:HALL, KAREN HILLE (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:HILLE
Last Name:HALL
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 1:2021 GALLATIN PIKE N
Mailing Address - Street 2:SUITE 160
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-2097
Mailing Address - Country:US
Mailing Address - Phone:615-397-8252
Mailing Address - Fax:615-885-6472
Practice Address - Street 1:2021 GALLATIN PIKE N
Practice Address - Street 2:SUITE 160
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-2097
Practice Address - Country:US
Practice Address - Phone:615-397-8252
Practice Address - Fax:615-885-6472
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000032821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4120496OtherBCBS
TN4120496OtherBCBS