Provider Demographics
NPI:1376294637
Name:CHRISTY N. RATAJCZAK, LCSW P.C.
Entity Type:Organization
Organization Name:CHRISTY N. RATAJCZAK, LCSW P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:RATAJCZAK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWR
Authorized Official - Phone:716-930-6406
Mailing Address - Street 1:1445 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:14040-9610
Mailing Address - Country:US
Mailing Address - Phone:716-930-6406
Mailing Address - Fax:
Practice Address - Street 1:13500 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ALDEN
Practice Address - State:NY
Practice Address - Zip Code:14004-1466
Practice Address - Country:US
Practice Address - Phone:716-930-6406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder