Doctor Name: | MR. RAYMOND STEVEN SHOCKI |
NPI Number: | 1245305135 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | 000402 |
Business Practice Address: | 710 Main St Building 3, Suite 9 Plantsville, CT - 064791565 |
Business Phone Number: | 8606288474 |
Business Fax Number: | 8606210850 |
Mailing Address: | 45 Arrowleaf Ct, CHESHIRE |
State: | CT |
Postal Code: | 064103312 |
Phone Number: | 8606288474 |
Fax Number: | 8606210850 |
NPI Enumeration Date: | 11/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 000402 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |