Provider Demographics
NPI:1285702662
Name:RATNER, JEAN F (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:F
Last Name:RATNER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8209 HAMILTON SPRING CT
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-2713
Mailing Address - Country:US
Mailing Address - Phone:301-469-8542
Mailing Address - Fax:
Practice Address - Street 1:8209 HAMILTON SPRING CT
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-2713
Practice Address - Country:US
Practice Address - Phone:301-469-8542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD029421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD646440Medicare ID - Type Unspecified