Provider Demographics
NPI:1134697410
Name:RATTIGAN, YUVELQUI (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:YUVELQUI
Middle Name:
Last Name:RATTIGAN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2803 WESTBROOK LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-1215
Mailing Address - Country:US
Mailing Address - Phone:240-459-8424
Mailing Address - Fax:
Practice Address - Street 1:2803 WESTBROOK LN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-1215
Practice Address - Country:US
Practice Address - Phone:240-459-8424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD174951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical