MEDICARE: KAREN S COWIE LISW-S, LICDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	I0500036	OH

General Provider Information

NPI Number	:	1154363968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN S COWIE LISW-S, LICDC

Provider Business Mailing Address
First Line	:	905 RIVER RD STE B
Second Line	:
City	:	GRANVILLE
State	:	OH
Zip	:	43023-9560
Country	:	US
Telephone Number	:	740-507-6707
Fax Number	:	740-920-4244

Provider Business Practice Location Address
First Line	:	905 RIVER RD STE B
Second Line	:
City	:	GRANVILLE
State	:	OH
Zip	:	43023-9560
Country	:	US
Telephone Number	:	740-507-6707
Fax Number	:	740-920-4244

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	08/16/2024

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