Provider Demographics
NPI:1346952306
Name:KARMIK, TIMOTHY PETER (MSW, LSW)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:PETER
Last Name:KARMIK
Suffix:
Gender:M
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 1:732 CHARISMATIC DR
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-7003
Mailing Address - Country:US
Mailing Address - Phone:309-826-5464
Mailing Address - Fax:
Practice Address - Street 1:2244 95TH ST # 218
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8033
Practice Address - Country:US
Practice Address - Phone:309-826-5464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.109959104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker