Provider Demographics
NPI:1407104722
Name:RONDENET, CATHERINE MARIE (MA / LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARIE
Last Name:RONDENET
Suffix:
Gender:F
Credentials:MA / LCSW
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:MARIE
Other - Last Name:RUSSELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:708 CHURCH ST.
Mailing Address - Street 2:SUITE 259
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-3840
Mailing Address - Country:US
Mailing Address - Phone:847-864-4272
Mailing Address - Fax:
Practice Address - Street 1:708 CHURCH ST.
Practice Address - Street 2:SUITE 259
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3840
Practice Address - Country:US
Practice Address - Phone:847-864-4272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0020041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical