Provider Demographics
NPI:1396881314
Name:SCHULTZ, CARYN ANN (LCSW)
Entity type:Individual
Prefix:
First Name:CARYN
Middle Name:ANN
Last Name:SCHULTZ
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 1:2740 WHITE BARN RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-6332
Mailing Address - Country:US
Mailing Address - Phone:630-336-4906
Mailing Address - Fax:630-851-1898
Practice Address - Street 1:2740 WHITE BARN RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60502-6332
Practice Address - Country:US
Practice Address - Phone:630-336-4906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.003250101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health