Provider Demographics
NPI:1548718844
Name:KROENING, KATIE MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:MARIE
Last Name:KROENING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 S CHERRY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:IL
Mailing Address - Zip Code:60098-8142
Mailing Address - Country:US
Mailing Address - Phone:847-809-8494
Mailing Address - Fax:
Practice Address - Street 1:475 W TERRA COTTA AVE STE E
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-3407
Practice Address - Country:US
Practice Address - Phone:815-707-4806
Practice Address - Fax:815-977-8715
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-14
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0168051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical