Provider Demographics
NPI:1730263112
Name:TRUSCOTT, KAREN A (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:A
Last Name:TRUSCOTT
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12843 PENNRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-1238
Mailing Address - Country:US
Mailing Address - Phone:314-344-0048
Mailing Address - Fax:314-344-0057
Practice Address - Street 1:12843 PENNRIDGE DR
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-1238
Practice Address - Country:US
Practice Address - Phone:314-344-0048
Practice Address - Fax:314-344-0057
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20030322461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical