Provider Demographics
NPI:1639476781
Name:HUGHES, KAREN M (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:HUGHES
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 1:407 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-3423
Mailing Address - Country:US
Mailing Address - Phone:731-642-9026
Mailing Address - Fax:731-642-1838
Practice Address - Street 1:407 N MARKET ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-3423
Practice Address - Country:US
Practice Address - Phone:731-642-9026
Practice Address - Fax:731-642-1838
Is Sole Proprietor?:No
Enumeration Date:2011-02-24
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000053901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4301205OtherVALUE OPTIONS/BCBS
TN1522596Medicaid
TNLSW0000005390OtherLCSW LICENSE NUMBER