Provider Demographics
NPI:1760712806
Name:WOODS, KAREN ARLEEN (LMSW-C/M)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ARLEEN
Last Name:WOODS
Suffix:
Gender:F
Credentials:LMSW-C/M
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 CAISSON HILL ROAD
Mailing Address - Street 2:IRWIN ARMY COMMUNITY HOSPITAL-FAP
Mailing Address - City:FORT RILEY
Mailing Address - State:KS
Mailing Address - Zip Code:66442
Mailing Address - Country:US
Mailing Address - Phone:785-239-7060
Mailing Address - Fax:785-240-5257
Practice Address - Street 1:1801 BUFFALO SOLDIER DR STE B
Practice Address - Street 2:
Practice Address - City:FORT RILEY
Practice Address - State:KS
Practice Address - Zip Code:66442-4089
Practice Address - Country:US
Practice Address - Phone:785-240-6396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-13
Last Update Date:2012-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801087827104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSOP26570Medicare PIN
MIOP26570Medicare PIN