Organization
CAITLIN GARSTKIEWICZ, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN GARSTKIEWICZ LCSW (OWNER/LCSW)
(815) 216-0135
Entity
Organization
Contact information
Practice address
2166 HARBORTOWN CIR, CHAMPAIGN, IL 61821-6481
(815) 216-0135
Mailing address
2166 HARBORTOWN CIR, CHAMPAIGN, IL 61821-6481
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251300000X
Local Education Agency (LEA)
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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