| Doctor Name: | ANNA MARY MORETTI |
| NPI Number: | 1225401011 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LSW |
| License Number: | 150.101264 |
| Business Practice Address: | 900 North Shore Drive Suite 120 Lake Bluff, IL - 60044 |
| Business Phone Number: | 8476151698 |
| Business Fax Number: | 8476151697 |
| Mailing Address: | 444 W Fullerton Pkwy, Apt. 609 CHICAGO |
| State: | IL |
| Postal Code: | 606142866 |
| Phone Number: | 3472268795 |
| Fax Number: | |
| NPI Enumeration Date: | 11/03/2015 |
| NPI Last Update Date: | 11/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 150.101264 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |