Provider Demographics
NPI:1689084782
Name:BALDWIN, KAREN (LCSW, DSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:LCSW, DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 SAFFOLD RD
Mailing Address - Street 2:
Mailing Address - City:BUCKHEAD
Mailing Address - State:GA
Mailing Address - Zip Code:30625-1320
Mailing Address - Country:US
Mailing Address - Phone:561-309-9456
Mailing Address - Fax:
Practice Address - Street 1:1145 SAFFOLD RD
Practice Address - Street 2:
Practice Address - City:BUCKHEAD
Practice Address - State:GA
Practice Address - Zip Code:30625-1320
Practice Address - Country:US
Practice Address - Phone:561-309-9456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-29
Last Update Date:2025-05-28
Deactivation Date:2021-10-07
Deactivation Code:
Reactivation Date:2022-08-30
Provider Licenses
StateLicense IDTaxonomies
GACSW0087601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical