Provider Demographics
NPI:1417471020
Name:SCHWITTERS, KARYN BARBARA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KARYN
Middle Name:BARBARA
Last Name:SCHWITTERS
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 1:2014 OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61103-4833
Mailing Address - Country:US
Mailing Address - Phone:815-540-8410
Mailing Address - Fax:
Practice Address - Street 1:124 N WATER ST STE 303A
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-3975
Practice Address - Country:US
Practice Address - Phone:815-540-8410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-26
Last Update Date:2017-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0195841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical