Provider Demographics
NPI:1043686819
Name:MCGUGIN, KAREN LYNN (BSW, LSW)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LYNN
Last Name:MCGUGIN
Suffix:
Gender:F
Credentials:BSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3269 LETTER KENNY LN
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-6057
Mailing Address - Country:US
Mailing Address - Phone:419-571-2800
Mailing Address - Fax:740-938-9115
Practice Address - Street 1:445 LONGVIEW AVE W
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44903-4155
Practice Address - Country:US
Practice Address - Phone:419-526-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0022826104100000X
OHS.0029693104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker