Healthcare Provider Details

I. General information

NPI: 1659607489
Provider Name (Legal Business Name): VALERIE RAGGIO MSW-LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VALERIE RAGGIO MSW, LCSW

II. Dates (important events)

Enumeration Date: 10/29/2009
Last Update Date: 10/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 SIMSBURY RD
WEST GRANBY CT
06090-1410
US

IV. Provider business mailing address

88 SIMSBURY RD
WEST GRANBY CT
06090-1410
US

V. Phone/Fax

Practice location:
  • Phone: 860-653-8009
  • Fax:
Mailing address:
  • Phone: 860-653-8009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number003409
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: