Provider Demographics
NPI:1154335503
Name:UMMINGER, KAREN M (LCSW)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:M
Last Name:UMMINGER
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 1:1109 SOUTHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-5352
Mailing Address - Country:US
Mailing Address - Phone:512-442-4117
Mailing Address - Fax:512-442-4117
Practice Address - Street 1:1109 SOUTHWOOD RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-5352
Practice Address - Country:US
Practice Address - Phone:512-442-4117
Practice Address - Fax:512-442-4117
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX221581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A6622Medicare ID - Type UnspecifiedGROUP #00161V