Provider Demographics
NPI:1386934909
Name:SUTTON, KAREN DENISE (LCSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:DENISE
Last Name:SUTTON
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 1:285 TRIPLE OAKS DR
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-2082
Mailing Address - Country:US
Mailing Address - Phone:404-213-0799
Mailing Address - Fax:770-638-7848
Practice Address - Street 1:209A SWANTON WAY STE 102
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-3271
Practice Address - Country:US
Practice Address - Phone:678-587-8084
Practice Address - Fax:770-638-7848
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-15
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW 0031991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical