Healthcare Provider Details

I. General information

NPI: 1487153268
Provider Name (Legal Business Name): KAREN LYNN ESPERANZA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN LYNN SCHULTE-COMAN LCSW

II. Dates (important events)

Enumeration Date: 02/07/2018
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3515 S LOCUST RD
SOUTH BEND IN
46614-3906
US

IV. Provider business mailing address

330 LAKEVIEW DR
GOSHEN IN
46528-9365
US

V. Phone/Fax

Practice location:
  • Phone: 574-303-7287
  • Fax:
Mailing address:
  • Phone: 574-533-1234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34004655A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: