Doctor Name: | MONICA JEANNE RAWN |
NPI Number: | 1164584850 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSS |
License Number: | PR000588-1 |
Business Practice Address: | 23 Sagamore Way S Jericho, NY - 117532345 |
Business Phone Number: | 5164335150 |
Business Fax Number: | 5169386218 |
Mailing Address: | 23 Sagamore Way S, JERICHO |
State: | NY |
Postal Code: | 117532345 |
Phone Number: | 5164335150 |
Fax Number: | 5169386218 |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | PR000588-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |