Provider Demographics
NPI:1104282037
Name:KEMP, KAREN MARIE (ASW)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:MARIE
Last Name:KEMP
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:MARIE
Other - Last Name:KEMP-LOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1174
Mailing Address - Street 2:
Mailing Address - City:ORLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95963-4174
Mailing Address - Country:US
Mailing Address - Phone:530-865-1146
Mailing Address - Fax:530-865-6483
Practice Address - Street 1:PO BOX 8506
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-8506
Practice Address - Country:US
Practice Address - Phone:530-528-2342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-07
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA121621101YM0800X
171M00000X
CA12161104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker