Provider Demographics
NPI:1912043639
Name:RAZES, ANNA T (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:T
Last Name:RAZES
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 1:21180 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:KILDEER
Mailing Address - State:IL
Mailing Address - Zip Code:60047-8511
Mailing Address - Country:US
Mailing Address - Phone:847-540-5025
Mailing Address - Fax:
Practice Address - Street 1:330 E MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-3203
Practice Address - Country:US
Practice Address - Phone:847-382-7257
Practice Address - Fax:847-381-7257
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
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