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KIMBERLEY JANE TARCAK MSW
NPI 1568920833
Counselor - Mental Health in Blue Island, IL

Active since March 06, 2019
13136 WESTERN AVE, BLUE ISLAND, IL 60406(708) 371-5170(708) 371-0466 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberley Jane Tarcak Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLEY JANE TARCAK MSW (NPI 1568920833) is an individual mental health provider in Blue Island, Illinois and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1568920833
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLEY JANE TARCAKCredential: MSW
Location Address13136 WESTERN AVEBlue Island, IL 60406-2423
Mailing Address13136 Western AveBlue Island, IL 60406-2423 · (708) 371-5170 · Fax (708) 371-0466
Phone(708) 371-5170
Fax(708) 371-0466
Sole ProprietorNo
Enumeration DateMarch 6, 2019
✔ NPI 1568920833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
13136 WESTERN AVE, Blue Island, IL 60406
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Other Names 1

Former Name (1)Kimberley Shaffer

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BELINDA CHILDS
Case Manager/Care Coordinator
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5800
BRIANA E WRIGHT LSW
Social Worker
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5800
NICOLE FRAZIER
Counselor (Mental Health)
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5827
ANDREA R. BOYD MA, QMHP
Counselor (Mental Health)
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5823
MELISSA COLEMAN
Counselor (Mental Health)
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5849
MS. JULIET ANN RUSSOM WALDEN BS, AM, LSCW
Social Worker (Clinical)
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5800
MR. LOUIS VOLPI III C.R.S.S.
Counselor (Mental Health)
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5800
ANTHONY WEST
Case Manager/Care Coordinator
13136 WESTERN AVE
BLUE ISLAND, IL 60406
Cook County (708) 974-5815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberley Tarcak's NPI number?

The NPI number for Kimberley Tarcak is 1568920833. It was assigned to this individual provider in the NPPES registry on March 6, 2019. The provider is also known as Kimberley Shaffer.

Where is Kimberley Tarcak located?

Kimberley Tarcak practices at 13136 Western Ave, Blue Island, IL 60406. The listed phone number is (708) 371-5170.

What is Kimberley Tarcak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kimberley Tarcak was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.