Provider Demographics
NPI:1124085543
Name:THURMAN, KAROLA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KAROLA
Middle Name:
Last Name:THURMAN
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 1:385 GARRISONVILLE RD
Mailing Address - Street 2:113
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-1545
Mailing Address - Country:US
Mailing Address - Phone:540-657-1228
Mailing Address - Fax:540-657-1999
Practice Address - Street 1:385 GARRISONVILLE RD
Practice Address - Street 2:113
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-1545
Practice Address - Country:US
Practice Address - Phone:540-657-1228
Practice Address - Fax:540-657-1999
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040056061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA360140OtherTRICARE PRIME
VA14553OtherUBH
VA350648OtherANTHEM
VA546140OtherVALUE OPTIONS
VA7143597OtherAETNA MC, EPO & PPO
VA541183037OtherTRICARE
VI727318000OtherMAGELLAN
VA2138456OtherMAMSI
VA360140OtherMHN
VA1124085543Medicaid
VA2475280OtherCIGNA
VA1124085543Medicaid