=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265344196
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KARSON DANIELLE WAUGH LCSWA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/17/2026
-----------------------------------------------------
Last Update Date | 09/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 138 BARIUM SPRINGS DR
-----------------------------------------------------
City | STATESVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28677-8453
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-832-2200
-----------------------------------------------------
Fax | 704-838-1541
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3050 BLUEBIRD LN APT 300
-----------------------------------------------------
City | MEBANE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27302-9924
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-999-9959
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | P024598
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------