Provider Demographics
NPI:1730100777
Name:WELDING, RUTH ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ANN
Last Name:WELDING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:ANN
Other - Last Name:KNIEVEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11309 DISTINCTIVE DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-9460
Mailing Address - Country:US
Mailing Address - Phone:630-789-2928
Mailing Address - Fax:630-920-1242
Practice Address - Street 1:11309 DISTINCTIVE DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-9460
Practice Address - Country:US
Practice Address - Phone:630-789-2928
Practice Address - Fax:630-920-1242
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
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