Provider Demographics
NPI:1770273393
Name:ALDERSON, KARIE RENAE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KARIE
Middle Name:RENAE
Last Name:ALDERSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KARI
Other - Middle Name:RENAE
Other - Last Name:HOFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:750 ALMAR PKWY STE 204
Mailing Address - Street 2:
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914-2399
Mailing Address - Country:US
Mailing Address - Phone:815-214-9872
Mailing Address - Fax:
Practice Address - Street 1:750 ALMAR PKWY STE 204
Practice Address - Street 2:
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914-2399
Practice Address - Country:US
Practice Address - Phone:815-214-9872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490114081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical