Active NPIIndividual providerSole proprietor

Ms. Agnes Raeven, ACSW, LCSW

Social Worker in Sparta, New Jersey

NPI Number1700917820
Practice location
3 Theatre Ctr, Sparta, NJ 07871-2410
Fax
570-296-2043
Last updated
October 9, 2013

Agnes Raeven is a Social Worker based in Sparta, NJ. Agnes Raeven practices in Sparta, NJ and has the professional credentials of ACSW, LCSW. The NPI Number for Agnes Raeven is 1700917820 and holds a License No. SCO8663 (NJ). The current practice location address for Agnes Raeven is 3 Theatre Ctr, Sparta, NJ 07871-2410 and can be reached out via phone at 973-729-3722 and via fax at 570-296-2043.

Provider Profile Details

NPI Number
1700917820
Provider Name
Agnes Raeven
Credential
ACSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
3 Theatre Ctr, Sparta, NJ 07871-2410
Phone Number
973-729-3722
Fax Number
570-296-2043
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
March 8, 2007
Last Update Date
October 9, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Theatre Ctr
Sparta, NJ 07871-2410
City
Sparta
Zip
07871-2410
Phone Number
973-729-3722
Fax Number
570-296-2043
Sparta, NJ 07871Get directions →

Provider Business Mailing Address Details

Address
3 Theatre Ctr
Sparta, NJ 07871-2410
City
Sparta
State
NJ
Zip
07871-2410
Phone Number
973-729-3722
Fax Number
570-296-2043

License Information

License Number (1)
SCO8663
License State (1)
NJ
License Number (2)
SCO8663
License State (2)
NJ
Taxonomy (2)
Psychologist, Adult Development & Aging · 103TA0700X
License Number (3)
SCO8663
License State (3)
NJ
License Number (4)
SCO8663
License State (4)
NJ
Taxonomy (4)
Psychologist, Family · 103TF0000X
License Number (5)
SCO8663
License State (5)
NJ
Taxonomy (5)
Psychologist · 103T00000X
License Number (6)
SCO8663
License State (6)
NJ
Taxonomy (6)
Psychologist, Group Psychotherapy · 103TP2701X
License Number (7)
SCO8663
License State (7)
NJ
Taxonomy (7)
Psychologist, Rehabilitation · 103TR0400X
License Number (8)
SCO8663
License State (8)
NJ
Taxonomy (8)
Social Worker · 104100000X · Primary
License Number (9)
SCO8663
License State (9)
NJ
Taxonomy (9)
Marriage & Family Therapist · 106H00000X

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 Ms. Agnes Raeven, ACSW, LCSW?

The NPI number of Ms. Agnes Raeven, ACSW, LCSW is 1700917820. It was assigned on March 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Agnes Raeven, ACSW, LCSW?

Ms. Agnes Raeven, ACSW, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number SCO8663.

Where does Ms. Agnes Raeven, ACSW, LCSW practice?

The practice location is 3 Theatre Ctr, Sparta, NJ 07871-2410. The office can be reached at 973-729-3722 (phone) or 570-296-2043 (fax).

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 1700917820 directly on the NPPES registry website.

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