Doctor Name: | MARIANNE RAIMONDO |
NPI Number: | 1023444759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D LICSW |
License Number: | ISW02341 |
Business Practice Address: | 105 Sockanosset Cross Rd Ste 314 Cranston, RI - 029205560 |
Business Phone Number: | 4015334110 |
Business Fax Number: | |
Mailing Address: | 105 Sockanosset Cross Rd Ste 314, CRANSTON |
State: | RI |
Postal Code: | 029205560 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/26/2013 |
NPI Last Update Date: | 09/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ISW02341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |