Provider Demographics
NPI:1275143133
Name:RATTNER, GAIL E (LCSW)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:E
Last Name:RATTNER
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 1:2062 WOLVERTON D
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-4573
Mailing Address - Country:US
Mailing Address - Phone:516-662-1787
Mailing Address - Fax:
Practice Address - Street 1:2062 WOLVERTON D
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-4573
Practice Address - Country:US
Practice Address - Phone:516-662-1787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL159831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical