Ronda Ketner, L.C.S.W
Individual provider Active NPI Clinical Social Worker · La Salle, IL
NPI 1043626823 · NPPES record last updated Jul 1, 2014
Key facts
- NPI
- 1043626823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149003169 (IL)
- Practice address
- 2960 Chartres St
La Salle, IL 61301-1097 - Phone
- (815) 224-1610
- NPI assigned
- Jul 1, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149003169 | IL | Yes |
Addresses
Primary practice location
2960 Chartres St
La Salle, IL 61301-1097
Mailing address
PO Box 1488
La Salle, IL 61301-3488
Phone (815) 224-1610
Other providers in La Salle, IL
- William L Judge
- Kalapp, Inc
- Tara Ann Keeling
- Lexi Kerr
- Juliann Kersten
- Lasalle Peru TWP HS Dist 120
- Lasalle Public Elem 122
- John Phillip Lavieri
- Sarah Lavieri
- Jennifer N Leonard
All providers in La Salle, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.