Provider Demographics
NPI:1407536295
Name:RUTH REITER, LCSW, PLLC
Entity type:Organization
Organization Name:RUTH REITER, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LICENSED CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RUTHANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:REITER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:331-264-6002
Mailing Address - Street 1:2863 95TH ST STE 123-134
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-9005
Mailing Address - Country:US
Mailing Address - Phone:331-264-6002
Mailing Address - Fax:
Practice Address - Street 1:13550 S ROUTE 30 STE 204B
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-5688
Practice Address - Country:US
Practice Address - Phone:331-264-6002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty