Provider Demographics
NPI:1790923738
Name:TALTON, KARA (LCSW)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:TALTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:BRAWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:303 S HIGHWAY 78 STE 100
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-3957
Mailing Address - Country:US
Mailing Address - Phone:469-342-3468
Mailing Address - Fax:469-342-3466
Practice Address - Street 1:303 S HIGHWAY 78 STE 100
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-3957
Practice Address - Country:US
Practice Address - Phone:469-342-3468
Practice Address - Fax:469-342-3466
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60366104100000X, 1041C0700X
AZLMSW-125411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker