Provider Demographics
NPI:1881631463
Name:SALEM, KARLA R (LCSW-PIP, QMHP)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:R
Last Name:SALEM
Suffix:
Gender:F
Credentials:LCSW-PIP, QMHP
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:R
Other - Last Name:HARMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 S SYCAMORE AVE
Mailing Address - Street 2:SUITE 105-3
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-1246
Mailing Address - Country:US
Mailing Address - Phone:605-334-3739
Mailing Address - Fax:605-334-7752
Practice Address - Street 1:400 S SYCAMORE AVE
Practice Address - Street 2:SUITE 105-3
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-1246
Practice Address - Country:US
Practice Address - Phone:605-334-3739
Practice Address - Fax:605-334-7752
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD17811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical