Provider Demographics
NPI:1790883825
Name:CORRIGAN, KAREN D (MSW, MPH, LCSW, LMFT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:D
Last Name:CORRIGAN
Suffix:
Gender:F
Credentials:MSW, MPH, LCSW, LMFT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:S
Other - Last Name:DOBRITZKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW MPH, LCSW, LMFT
Mailing Address - Street 1:5606 VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63112-2709
Mailing Address - Country:US
Mailing Address - Phone:314-315-2165
Mailing Address - Fax:
Practice Address - Street 1:915 N GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106-1621
Practice Address - Country:US
Practice Address - Phone:314-652-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20050031471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical