Provider Demographics
NPI:1073704177
Name:WOLDMAN, ROSSANA DI SILVIO (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ROSSANA
Middle Name:DI SILVIO
Last Name:WOLDMAN
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 1:707 N CLARK DR
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-7196
Mailing Address - Country:US
Mailing Address - Phone:847-845-7837
Mailing Address - Fax:
Practice Address - Street 1:707 N CLARK DR
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-7196
Practice Address - Country:US
Practice Address - Phone:847-845-7837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0123681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical