Healthcare Provider Details

I. General information

NPI: 1528218229
Provider Name (Legal Business Name): RAEANNE CORSCADDEN LICSW,CADC1,LADC1
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 10/29/2026
Certification Date: 10/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 ELSBREE ST
FALL RIVER MA
02720-7211
US

IV. Provider business mailing address

331 ELSBREE ST STE 205
FALL RIVER MA
02720-7211
US

V. Phone/Fax

Practice location:
  • Phone: 508-677-5357
  • Fax: 401-816-5809
Mailing address:
  • Phone: 508-677-5357
  • Fax: 401-816-5809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number119402
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: