Provider Demographics
NPI:1972629772
Name:NOLTE, KAREN (MED, LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:NOLTE
Suffix:
Gender:F
Credentials:MED, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9445 LITZSINGER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63144-2113
Mailing Address - Country:US
Mailing Address - Phone:314-968-2350
Mailing Address - Fax:314-968-4239
Practice Address - Street 1:9445 LITZSINGER RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63144-2113
Practice Address - Country:US
Practice Address - Phone:314-968-2350
Practice Address - Fax:314-968-4239
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0033131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical