Individual
ELIZABETH S CARRIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
102 W KENWOOD AVE STE 100, DECATUR, IL 62526-4379
(217) 872-3800
(217) 872-0849
Mailing address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149024170
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149024170
LCSW LICENSE
IL
Enumeration date
01/31/2022
Last updated
04/05/2024
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