Basic Information
Provider Information
NPI: 1558386946
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARPINSKY
FirstName: ROBERT
MiddleName: A
NamePrefix: MR.
NameSuffix:  
Credential: MSSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1108 SANDY CIR
Address2:  
City: LA CRESCENT
State: MN
PostalCode: 559479632
CountryCode: US
TelephoneNumber: 5078952881
FaxNumber:  
Practice Location
Address1: 500 E VETERANS ST
Address2:  
City: TOMAH
State: WI
PostalCode: 546603105
CountryCode: US
TelephoneNumber: 6083723971
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/13/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X1215-123WIY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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