Provider Demographics
NPI:1194235499
Name:RASCATI, GABRIELA (LCSW)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:RASCATI
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 1:1934 W ROSCOE ST APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-1056
Mailing Address - Country:US
Mailing Address - Phone:571-276-8844
Mailing Address - Fax:773-303-8423
Practice Address - Street 1:3139 N LINCOLN AVE STE 210
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-3122
Practice Address - Country:US
Practice Address - Phone:224-999-0677
Practice Address - Fax:773-303-8423
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0161381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical