Provider Demographics
NPI:1881851962
Name:HALL, RAMONA CELESTE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RAMONA
Middle Name:CELESTE
Last Name:HALL
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 1:12 BRIARCLIFF CT
Mailing Address - Street 2:
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914-1601
Mailing Address - Country:US
Mailing Address - Phone:815-549-0583
Mailing Address - Fax:
Practice Address - Street 1:201 PARK PL
Practice Address - Street 2:SUITE 11
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914-1885
Practice Address - Country:US
Practice Address - Phone:815-932-3395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-17
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0124871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical