Provider Demographics
NPI:1598893182
Name:ENGEL, RUTH S (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:S
Last Name:ENGEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:RUTH
Other - Middle Name:
Other - Last Name:ENGEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:1140 LAKE ST
Mailing Address - Street 2:306
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1049
Mailing Address - Country:US
Mailing Address - Phone:708-383-8800
Mailing Address - Fax:708-383-8876
Practice Address - Street 1:1140 LAKE ST
Practice Address - Street 2:306
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1049
Practice Address - Country:US
Practice Address - Phone:708-383-8800
Practice Address - Fax:708-383-8876
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical