Provider Demographics
NPI:1447558531
Name:HAYS, RACQUEL VALENCIA (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:RACQUEL
Middle Name:VALENCIA
Last Name:HAYS
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 1:5710 W GUNNISON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-3218
Mailing Address - Country:US
Mailing Address - Phone:847-912-8534
Mailing Address - Fax:847-779-9519
Practice Address - Street 1:500 W CENTRAL RD
Practice Address - Street 2:SUITE 104
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-2347
Practice Address - Country:US
Practice Address - Phone:847-912-8534
Practice Address - Fax:847-779-9519
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-14
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490082211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical