Mcgavin, Karen Anne

Mcgavin, Karen Anne is an individual health care provider with primary practice located at 137 Hospital Dr Ne , Fort Walton Beach FL 32548-5063. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mcgavin, Karen Anne can be contacted via phone (850) 833-7451.

Contact Information

Primary practice address
137 Hospital Dr Ne Fort Walton Beach FL 32548-5063
Phone: (850) 833-7451
Fax: (850) 833-7439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 2139M Arkansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW11541 Florida

Profile Details

NPI number 1215185681
LBN Legal business name Mcgavin, Karen Anne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2008
Last updated Feb 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215185681 NPPES
Florida MEDICAID 009913300

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