Provider Demographics
NPI:1083025589
Name:GARKIE, KAREN (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:GARKIE
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:COTTAGE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:62018-1165
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:531 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:COTTAGE HILLS
Practice Address - State:IL
Practice Address - Zip Code:62018-1165
Practice Address - Country:US
Practice Address - Phone:618-531-1536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150009692104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker