Provider Demographics
NPI:1447412838
Name:RUOHOMAKI, STEVEN L (LCSW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:L
Last Name:RUOHOMAKI
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1584 W CRYSTAL ROCK CT
Mailing Address - Street 2:UNIT 2-C
Mailing Address - City:ROUND LAKE BEACH
Mailing Address - State:IL
Mailing Address - Zip Code:60073-4642
Mailing Address - Country:US
Mailing Address - Phone:847-370-9106
Mailing Address - Fax:
Practice Address - Street 1:1584 W CRYSTAL ROCK CT
Practice Address - Street 2:UNIT 2-C
Practice Address - City:ROUND LAKE BEACH
Practice Address - State:IL
Practice Address - Zip Code:60073-4642
Practice Address - Country:US
Practice Address - Phone:847-370-9106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0037111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical