Provider Demographics
NPI:1184889503
Name:NELSON, KAREN K (MSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:K
Last Name:NELSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S FRONT ST STE D
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4629
Mailing Address - Country:US
Mailing Address - Phone:906-236-5942
Mailing Address - Fax:906-273-1050
Practice Address - Street 1:205 S FRONT ST STE D
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4629
Practice Address - Country:US
Practice Address - Phone:906-236-5942
Practice Address - Fax:906-273-1050
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010627961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical