Provider Demographics
NPI:1861896540
Name:RAWAT, ESMERALDA (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:ESMERALDA
Middle Name:
Last Name:RAWAT
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:ESMERALDA
Other - Middle Name:
Other - Last Name:ROMERO HERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1225 LANGLADE RD
Mailing Address - Street 2:
Mailing Address - City:ANTIGO
Mailing Address - State:WI
Mailing Address - Zip Code:54409-2762
Mailing Address - Country:US
Mailing Address - Phone:715-627-6694
Mailing Address - Fax:
Practice Address - Street 1:1225 LANGLADE RD
Practice Address - Street 2:
Practice Address - City:ANTIGO
Practice Address - State:WI
Practice Address - Zip Code:54409-2762
Practice Address - Country:US
Practice Address - Phone:715-627-6694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-09
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI111531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical