Provider Demographics
NPI:1013990993
Name:CONFER, KARIN HEINZ (ACSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:KARIN
Middle Name:HEINZ
Last Name:CONFER
Suffix:
Gender:F
Credentials:ACSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 CENTRAL AVE SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3814
Mailing Address - Country:US
Mailing Address - Phone:256-536-0019
Mailing Address - Fax:256-536-2964
Practice Address - Street 1:106 CENTRAL AVE SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3814
Practice Address - Country:US
Practice Address - Phone:256-536-0019
Practice Address - Fax:256-536-2964
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0467C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
008476OtherVALUE OPTIONS
R61867Medicare UPIN