Provider Demographics
NPI:1790948321
Name:DONNA RATTE', PHD, LCSW, LLC
Entity Type:Organization
Organization Name:DONNA RATTE', PHD, LCSW, LLC
Other - Org Name:DONNA RATTE', LCSW, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:RATTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MSW, LCSW
Authorized Official - Phone:847-840-3493
Mailing Address - Street 1:1570 ELMWOOD AVE UNIT 809
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-4577
Mailing Address - Country:US
Mailing Address - Phone:847-840-3493
Mailing Address - Fax:847-475-8350
Practice Address - Street 1:4433 W TOUHY AVE STE 500
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1838
Practice Address - Country:US
Practice Address - Phone:847-840-3493
Practice Address - Fax:847-475-8350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2023-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490093751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04932146OtherBLUE CROSS BLUE SHIELD
IL04932146OtherBLUE CROSS BLUE SHIELD