Provider Demographics
NPI:1306911854
Name:FALLS, KARI CHRISTOPHERSON (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KARI
Middle Name:CHRISTOPHERSON
Last Name:FALLS
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 1:310 ROTHBURY CT
Mailing Address - Street 2:
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044
Mailing Address - Country:US
Mailing Address - Phone:847-234-0456
Mailing Address - Fax:
Practice Address - Street 1:21 N SKOKIE BLVD
Practice Address - Street 2:ASSOCIATES IN THERAPY ASSESSMENT LLC SUITE 203
Practice Address - City:LAKE BLUFF
Practice Address - State:IL
Practice Address - Zip Code:60044
Practice Address - Country:US
Practice Address - Phone:847-295-6141
Practice Address - Fax:847-295-6176
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4932087OtherBCBS