Provider Demographics
NPI:1831504422
Name:CALL, KAREN D (MSW, LISW, LICDC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:D
Last Name:CALL
Suffix:
Gender:F
Credentials:MSW, LISW, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 MARION WILLIAMSPORT RD E
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-8683
Mailing Address - Country:US
Mailing Address - Phone:740-387-7040
Mailing Address - Fax:
Practice Address - Street 1:670 MARION WILLIAMSPORT RD E
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-8683
Practice Address - Country:US
Practice Address - Phone:740-387-7040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.13036011041C0700X
OH131044101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical