Karen Elaine Kistler, MSW, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150012656 Issued in IL

Practice address

2323 Windish Dr
Galesburg, IL 61401-9780

Phone

(309) 344-2323

Fax

(309) 344-4368

NPI assigned

Feb 8, 2011

Last updated

Apr 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1750687885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 WINDISH DR",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614019780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 WINDISH DR",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614019780",
            "telephone_number": "309-344-2323",
            "fax_number": "309-344-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTLER",
        "first_name": "KAREN",
        "middle_name": "ELAINE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "150012656",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150012656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "370984175",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise L King, LCPC
• James H King, M.D.
• Jennifer Lane King, MSW
• Christopher Steele Kinne, MD
• Nicole Kisler, PTA
• Angela B Klapp, APN
• Knox Clinic Corp
• Knox Clinic Corp (Medical Arts Clinic)
• Knox Clinic Corp (Pediatric and Adolescent Care)
• Knox Clinic Corp (Cottage Orthopedics and Podiatry)

• Social Worker in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.