Provider Demographics
NPI:1346035219
Name:SHONK, CARRIE (LCSW, C-SSWS)
Entity type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:
Last Name:SHONK
Suffix:
Gender:
Credentials:LCSW, C-SSWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9521 LINCOLNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60203-1125
Mailing Address - Country:US
Mailing Address - Phone:773-390-5598
Mailing Address - Fax:
Practice Address - Street 1:9521 LINCOLNWOOD DR
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60203-1125
Practice Address - Country:US
Practice Address - Phone:773-390-5598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL6858271041S0200X
IL149.0280131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool