MEDICARE: CYNTHIA SELENA RATTO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC06346400	NJ

General Provider Information

NPI Number	:	1679224364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA SELENA RATTO LCSW

Provider Business Mailing Address
First Line	:	355 COMMUNIPAW AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304-4033
Country	:	US
Telephone Number	:	201-736-0182
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 COMMUNIPAW AVE
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304-4033
Country	:	US
Telephone Number	:	201-736-0182
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2022
Last Update Date	:	01/08/2026

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