Provider Demographics
NPI:1932672565
Name:WOLDEN, KAREN (LICSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:WOLDEN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 CASPER CIR
Mailing Address - Street 2:
Mailing Address - City:NYA
Mailing Address - State:MN
Mailing Address - Zip Code:55368-9747
Mailing Address - Country:US
Mailing Address - Phone:218-301-4096
Mailing Address - Fax:
Practice Address - Street 1:521 CASPER CIR
Practice Address - Street 2:
Practice Address - City:NYA
Practice Address - State:MN
Practice Address - Zip Code:55368-9747
Practice Address - Country:US
Practice Address - Phone:218-301-4096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-07
Last Update Date:2025-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN245541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical