Provider Demographics
NPI:1306399365
Name:TOBIAS, KAREN (MSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:TOBIAS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 MARGARET ST
Mailing Address - Street 2:
Mailing Address - City:PEKIN
Mailing Address - State:IL
Mailing Address - Zip Code:61554-3268
Mailing Address - Country:US
Mailing Address - Phone:309-349-3886
Mailing Address - Fax:309-620-8647
Practice Address - Street 1:359 MARGARET ST
Practice Address - Street 2:
Practice Address - City:PEKIN
Practice Address - State:IL
Practice Address - Zip Code:61554-3268
Practice Address - Country:US
Practice Address - Phone:309-349-3886
Practice Address - Fax:309-620-8647
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health