Raquel M Provda, LICSW
Social Worker, Clinical in Burlington, Massachusetts
1174888911- Practice location
- 41 Mall RD, Burlington, MA 01805-0001
- Phone
- 781-744-8000
- Fax
- —
- Last updated
- December 2, 2025
Raquel Melyssa Provda is a Social Worker, Clinical based in Burlington, MA. Raquel Melyssa Provda practices in Burlington, MA and has the professional credentials of LICSW. The NPI Number for Raquel Melyssa Provda is 1174888911 and holds a License No. LICSW1120818 (MA). The current practice location address for Raquel Melyssa Provda is 41 Mall RD, Burlington, MA 01805-0001 and can be reached out via phone at 781-744-8000.
Provider Profile Details
- NPI Number
- 1174888911
- Provider Name
- Raquel Melyssa Provda
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 41 Mall RD, Burlington, MA 01805-0001
- Phone Number
- 781-744-8000
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 9, 2012
- Last Update Date
- December 2, 2025
- Certification Date
- December 2, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 41 Mall RD
Burlington, MA 01805-0001 - City
- Burlington
- State
- Massachusetts
- Zip
- 01805-0001
- Phone Number
- 781-744-8000
Provider Business Mailing Address Details
- Address
- 11 Circle Ave
Lynn, MA 01905-3050 - City
- Lynn
- State
- MA
- Zip
- 01905-3050
- Phone Number
- 781-595-2413
License Information
- License Number
- LICSW1120818
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Burlington, MA
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- Alexandra M MillerSocial Worker, Clinical · NPI 1184850265
- Alison O'Connell, LICSWSocial Worker, Clinical · NPI 1952560393
- Amanda J BaillargeonSocial Worker, Clinical · NPI 1770924425
- Angela LombardoSocial Worker, Clinical · NPI 1710640099
- Ariana D Viscione, MSWSocial Worker, Clinical · NPI 1336521392
Frequently Asked Questions
What is the NPI number of Raquel M Provda, LICSW?
The NPI number of Raquel M Provda, LICSW is 1174888911. It was assigned on July 9, 2012 and is currently active in the NPPES registry.
What is the specialty of Raquel M Provda, LICSW?
Raquel M Provda, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW1120818.
Where does Raquel M Provda, LICSW practice?
The practice location is 41 Mall RD, Burlington, MA 01805-0001. The office can be reached at 781-744-8000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174888911 directly on the NPPES registry website.