Provider Demographics
NPI:1588707806
Name:MARTARANO, ROSEANN (LCSW)
Entity type:Individual
Prefix:
First Name:ROSEANN
Middle Name:
Last Name:MARTARANO
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 1:15737 RAVINIA AVE UNIT 2W
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-5392
Mailing Address - Country:US
Mailing Address - Phone:312-852-0950
Mailing Address - Fax:
Practice Address - Street 1:15737 RAVINIA AVE UNIT 2W
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-5392
Practice Address - Country:US
Practice Address - Phone:312-852-0950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
IL149-0027371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical