Provider Demographics
NPI:1386410272
Name:FOSTER, KAREN SOLEDAD (CSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:SOLEDAD
Last Name:FOSTER
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:671 E 330 N
Mailing Address - Street 2:
Mailing Address - City:VINEYARD
Mailing Address - State:UT
Mailing Address - Zip Code:84059-4807
Mailing Address - Country:US
Mailing Address - Phone:801-404-0302
Mailing Address - Fax:
Practice Address - Street 1:5663 S REDWOOD RD
Practice Address - Street 2:SUITE 2 OFFICE 10
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84123
Practice Address - Country:US
Practice Address - Phone:801-742-5851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13438846-35021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical