Healthcare Provider Details

I. General information

NPI: 1154377422
Provider Name (Legal Business Name): KAREN SALING LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN MOORE LCSW

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 04/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 PORTER WAGONER BLVD
WEST PLAINS MO
65775-1826
US

IV. Provider business mailing address

1211 PORTER WAGONER BLVD
WEST PLAINS MO
65775-1826
US

V. Phone/Fax

Practice location:
  • Phone: 417-257-6762
  • Fax: 417-257-5815
Mailing address:
  • Phone: 417-257-6762
  • Fax: 417-257-5815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1884 C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: