Healthcare Provider Details

I. General information

NPI: 1689163156
Provider Name (Legal Business Name): KAREN G. ZASO MSW, SWLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. KAREN G ZASO

II. Dates (important events)

Enumeration Date: 05/09/2018
Last Update Date: 10/26/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 ILLINOIS ST
CHINOOK MT
59523-7729
US

IV. Provider business mailing address

PO BOX 1344
CHINOOK MT
59523-1344
US

V. Phone/Fax

Practice location:
  • Phone: 406-926-9118
  • Fax:
Mailing address:
  • Phone: 406-926-9118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number19373
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBBH-SWLC-LIC-19373
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: