Provider Demographics
NPI:1447618780
Name:STEVENS, KARA (MSW, LISW-S)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:STEVENS
Suffix:
Gender:F
Credentials:MSW, LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 COMMERCE PARK DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-6054
Mailing Address - Country:US
Mailing Address - Phone:614-360-2600
Mailing Address - Fax:
Practice Address - Street 1:115 COMMERCE PARK DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-6054
Practice Address - Country:US
Practice Address - Phone:614-360-2600
Practice Address - Fax:844-320-2600
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-01
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1450658.SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1473276Medicaid