Provider Demographics
NPI:1518466994
Name:MIGALSKI, RONALD ANTHONY (LCSW)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:ANTHONY
Last Name:MIGALSKI
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 N WESTMORELAND RD STE 201
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1687
Mailing Address - Country:US
Mailing Address - Phone:847-388-0603
Mailing Address - Fax:312-694-1155
Practice Address - Street 1:800 N WESTMORELAND RD STE 201
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1687
Practice Address - Country:US
Practice Address - Phone:847-388-0603
Practice Address - Fax:312-694-1155
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-12
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490116971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty