Healthcare Provider Details
I. General information
NPI: 1881291110
Provider Name (Legal Business Name): ZACHARY JAMES KARR LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/09/2020
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1802 N RINGWOOD RD
MCHENRY IL
60050-1340
US
IV. Provider business mailing address
668 MORRIS CT
LAKEMOOR IL
60051-8630
US
V. Phone/Fax
- Phone: 779-244-1700
- Fax:
- Phone: 815-219-6300
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 149.029648 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041S0200X |
| Taxonomy | School Social Worker |
| License Number | 149.029648 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: