Karla Washington

Individual provider Active NPI Clinical Social Worker · Columbia, MO

NPI 1144055385 · NPPES record last updated Sep 6, 2024

Key facts

NPI
1144055385
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
2003017710 (MO)
Practice address
4103 Brentwood Dr
Columbia, MO 65203-6741
Phone
(573) 645-7089
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2003017710MOMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2003017710 MO Yes

Addresses

Primary practice location

4103 Brentwood Dr
Columbia, MO 65203-6741

Mailing address

4103 Brentwood Dr
Columbia, MO 65203-6741

Other providers in Columbia, MO

All providers in Columbia, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.