Provider Demographics
NPI:1770716102
Name:RATAJCZAK, CHRISTY N (LCSWR)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:N
Last Name:RATAJCZAK
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:14040-9610
Mailing Address - Country:US
Mailing Address - Phone:716-930-6406
Mailing Address - Fax:
Practice Address - Street 1:13500 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ALDEN
Practice Address - State:NY
Practice Address - Zip Code:14004-1466
Practice Address - Country:US
Practice Address - Phone:716-930-6406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR084041-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical