Provider Demographics
NPI:1316174543
Name:BLONSKY, KAREN J (LCSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:J
Last Name:BLONSKY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:J
Other - Last Name:BLONSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1044 N MOZART ST STE 203
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-2792
Mailing Address - Country:US
Mailing Address - Phone:773-292-5951
Mailing Address - Fax:773-292-2601
Practice Address - Street 1:115 5TH AVE S STE 301
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-4098
Practice Address - Country:US
Practice Address - Phone:608-676-7370
Practice Address - Fax:773-292-2601
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490128141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical