Healthcare Provider Details

I. General information

NPI: 1154363968
Provider Name (Legal Business Name): KAREN S COWIE LISW-S, LICDC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN STRAUB

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 RIVER RD STE B
GRANVILLE OH
43023-9560
US

IV. Provider business mailing address

905 RIVER RD STE B
GRANVILLE OH
43023-9560
US

V. Phone/Fax

Practice location:
  • Phone: 740-507-6707
  • Fax: 740-920-4244
Mailing address:
  • Phone: 740-507-6707
  • Fax: 740-920-4244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI0500036
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: