Provider Demographics
NPI:1689163156
Name:ZASO, KAREN G (MSW, SWLC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:G
Last Name:ZASO
Suffix:
Gender:F
Credentials:MSW, SWLC
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:G
Other - Last Name:ZASO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1344
Mailing Address - Street 2:
Mailing Address - City:CHINOOK
Mailing Address - State:MT
Mailing Address - Zip Code:59523-1344
Mailing Address - Country:US
Mailing Address - Phone:406-926-9118
Mailing Address - Fax:
Practice Address - Street 1:424 ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:CHINOOK
Practice Address - State:MT
Practice Address - Zip Code:59523-7729
Practice Address - Country:US
Practice Address - Phone:406-926-9118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-09
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-SWLC-LIC-19373103K00000X
172V00000X
MT19373104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No172V00000XOther Service ProvidersCommunity Health Worker