Active NPIIndividual providerSole proprietor

Mrs. Melissa M Raines, LCSW

Social Worker, Clinical in Ridgewood, New Jersey

NPI Number1720272024
Practice location
169 Dayton St, Ridgewood, NJ 07450-4407
Fax
—
Last updated
November 9, 2012

Melissa Mcdermott Raines is a Social Worker, Clinical based in Ridgewood, NJ. Melissa Mcdermott Raines practices in Ridgewood, NJ and has the professional credentials of LCSW. The NPI Number for Melissa Mcdermott Raines is 1720272024 and holds a License No. 077063 (NY). The current practice location address for Melissa Mcdermott Raines is 169 Dayton St, Ridgewood, NJ 07450-4407 and can be reached out via phone at 201-444-4821.

Provider Profile Details

NPI Number
1720272024
Provider Name
Melissa Mcdermott Raines
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
169 Dayton St, Ridgewood, NJ 07450-4407
Phone Number
201-444-4821
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 29, 2007
Last Update Date
November 9, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
169 Dayton St
Ridgewood, NJ 07450-4407
Zip
07450-4407
Phone Number
201-444-4821
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
169 Dayton St
Ridgewood, NJ 07450-4407
City
Ridgewood
State
NJ
Zip
07450-4407
Phone Number
201-444-4821

License Information

License Number (1)
077063
License State (1)
NY
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
44SC05411200
License State (2)
NJ
Taxonomy (2)
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 Mrs. Melissa M Raines, LCSW?

The NPI number of Mrs. Melissa M Raines, LCSW is 1720272024. It was assigned on August 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Melissa M Raines, LCSW?

Mrs. Melissa M Raines, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 077063.

Where does Mrs. Melissa M Raines, LCSW practice?

The practice location is 169 Dayton St, Ridgewood, NJ 07450-4407. The office can be reached at 201-444-4821 (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 1720272024 directly on the NPPES registry website.

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