Healthcare Provider Details

I. General information

NPI: 1568405256
Provider Name (Legal Business Name): KAREN G TAYLOR M.S.W., L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 S MADISON BLVD
BARTLESVILLE OK
74006-2822
US

IV. Provider business mailing address

388CR2708
BARTLESVILLE OK
74003
US

V. Phone/Fax

Practice location:
  • Phone: 918-336-1463
  • Fax: 918-331-9717
Mailing address:
  • Phone: 918-338-3622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: