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NPI Code Detail

MEDICARE: KARMA LYNN CARPENTER LCSW

MEDICARE:   KARMA LYNN CARPENTER  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker13903MN
21041C0700XClinical Social Worker149011410IL
31041C0700XClinical Social Worker2641OR

General Provider Information

NPI Number : 1467625764
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARMA LYNN CARPENTER LCSW
Provider Business Mailing Address
First Line : PO BOX 2063
Second Line :
City : DECATUR
State : IL
Zip : 62524-2063
Country : US
Telephone Number : 971-241-7011
Fax Number :
Provider Business Practice Location Address
First Line : 3901 PINTAIL DR STE A
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62711-6768
Country : US
Telephone Number : 217-544-3143
Fax Number : 217-544-4436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2008
Last Update Date : 06/26/2026

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Directions to “ KARMA LYNN CARPENTER LCSW” Practice Location

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