Provider Demographics
NPI:1659569978
Name:SUGDEN, KAREN MARIE (MED MSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MARIE
Last Name:SUGDEN
Suffix:
Gender:F
Credentials:MED MSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:M
Other - Last Name:SUGDEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED MSW
Mailing Address - Street 1:419 CEDAR SPRINGS ROAD
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015
Mailing Address - Country:US
Mailing Address - Phone:410-515-0247
Mailing Address - Fax:410-569-9378
Practice Address - Street 1:419 CEDAR SPRINGS ROAD
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015
Practice Address - Country:US
Practice Address - Phone:410-515-0247
Practice Address - Fax:410-569-9378
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA198101YA0400X
MD090901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)