Raymond Raw in Bridgeport - Clinical

Raymond Raw - NPI 1619187341

Raymond Raw is a Clinical in Bridgeport, Connecticut. Raymond Raw practices all healthcare services and medical treatments related to Clinical. The NPI Number for Raymond Raw is 1619187341. The last update date is 2008-04-03.

Raymond Raw's current location address is 1635 Central Avenue, Bridgeport, Connecticut. You can contact this provider via phone number 2035517660 and fax number 2035517481. The mailing address for Raymond Raw is 1635 Central Avenue, Bridgeport, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Raymond Raw
Address 1635 Central Avenue, Bridgeport, Connecticut
Phone Number 2035517660
Fax Number 2035517481
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1619187341
Provider Enumeration Date 2007-05-23
Last Updated Date 2008-04-03

Provider Mailing Address Detail

Address 1635 Central Avenue
City Bridgeport
State Connecticut (CT)
Post Code 6610
Phone Number 2035517660
Fax Number 2035517481

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 5956
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LCSW005956 CT STATE LICENSE

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FAQs about Raymond Raw

What is the unique identifier code issued to Raymond Raw by the Centers for Medicare & Medicaid Services (CMS)?

The Raymond Raw has been assigned the NPI (National Provider Identifier) 1619187341. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Raymond Raw is located?

The Raymond Raw is situated at the following address: 1635 Central Avenue, Bridgeport, CT, 6610.

What is Raymond Raw's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Raymond Raw is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1619187341 to Raymond Raw?

The Centers for Medicare & Medicaid Services originally issued the 1619187341 to Raymond Raw on 2007-05-23.

When was the information regarding Raymond Raw, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Raymond Raw, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-03.

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