Provider Demographics
NPI:1932649506
Name:WELLS, KAREN YVETTE (LPN, MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:YVETTE
Last Name:WELLS
Suffix:
Gender:F
Credentials:LPN, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 AVIEMORE DR
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-9797
Mailing Address - Country:US
Mailing Address - Phone:910-235-3347
Mailing Address - Fax:910-255-4394
Practice Address - Street 1:45 AVIEMORE DR
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-9797
Practice Address - Country:US
Practice Address - Phone:910-235-3347
Practice Address - Fax:910-255-4394
Is Sole Proprietor?:No
Enumeration Date:2017-03-02
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0156521041C0700X
NCP0109201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical