1598716177 NPI number — MRS. KAREN MUIR LENOX LCSW

Table of content: MRS. KAREN MUIR LENOX LCSW (NPI 1598716177)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598716177 NPI number — MRS. KAREN MUIR LENOX LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LENOX
Provider First Name:
KAREN
Provider Middle Name:
MUIR
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CUMMINS
Provider Other First Name:
KAREN
Provider Other Middle Name:
MUIR
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1598716177
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/30/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9615 E 148TH ST STE 1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NOBLESVILLE
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46060-4371
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-574-1254
Provider Business Mailing Address Fax Number:
317-674-0060

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2020 BROWN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANDERSON
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46016-4218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-574-1254
Provider Business Practice Location Address Fax Number:
317-674-0060
Provider Enumeration Date:
05/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  34003789A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 34003789A . This is a "LICENSED CLINICAL SOCIAL" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".




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