Provider Demographics
NPI:1730148008
Name:PERSYN, KAREN (LCSW)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:PERSYN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2792 TSCHOEPE RD
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-8008
Mailing Address - Country:US
Mailing Address - Phone:830-303-2353
Mailing Address - Fax:830-303-2353
Practice Address - Street 1:2792 TSCHOEPE RD
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-8008
Practice Address - Country:US
Practice Address - Phone:830-303-2353
Practice Address - Fax:830-303-2353
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1740102-01Medicaid