Active NPIIndividual providerSole proprietor

Roberta Raimon, LICSW

Social Worker, Clinical in Edgartown, Massachusetts

NPI Number1538640453
Practice location
27 Mullen Way, Edgartown, MA 02539
Fax
—
Last updated
August 28, 2018

Roberta Raimon is a Social Worker, Clinical based in Edgartown, MA. Roberta Raimon practices in Edgartown, MA and has the professional credentials of LICSW. The NPI Number for Roberta Raimon is 1538640453 and holds a License No. 105677 (MA). The current practice location address for Roberta Raimon is 27 Mullen Way, Edgartown, MA 02539 and can be reached out via phone at 508-954-2727.

Provider Profile Details

NPI Number
1538640453
Provider Name
Roberta Raimon
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
27 Mullen Way, Edgartown, MA 02539
Phone Number
508-954-2727
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 28, 2018
Last Update Date
August 28, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
27 Mullen Way
Edgartown, MA 02539
Zip
02539
Phone Number
508-954-2727
Edgartown, MA 02539Get directions →

Provider Business Mailing Address Details

Address
Po Box 4082
Vineyard Haven, MA 02568-0928
City
Vineyard Haven
State
MA
Zip
02568-0928
Phone Number
508-954-2727

License Information

License Number
105677
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Roberta Raimon, LICSW?

The NPI number of Roberta Raimon, LICSW is 1538640453. It was assigned on August 28, 2018 and is currently active in the NPPES registry.

What is the specialty of Roberta Raimon, LICSW?

Roberta Raimon, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 105677.

Where does Roberta Raimon, LICSW practice?

The practice location is 27 Mullen Way, Edgartown, MA 02539. The office can be reached at 508-954-2727 (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 1538640453 directly on the NPPES registry website.

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