Provider Demographics
NPI:1578975769
Name:FOREMAN, KAREN (LCSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:FOREMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:CYNKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:1444 N FARNSWORTH AVE
Mailing Address - Street 2:STE 119
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-1858
Mailing Address - Country:US
Mailing Address - Phone:630-718-0717
Mailing Address - Fax:
Practice Address - Street 1:1444 N FARNSWORTH AVE
Practice Address - Street 2:STE 119
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-1858
Practice Address - Country:US
Practice Address - Phone:847-451-5082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-22
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.014894104100000X
IL149-0182221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker