Healthcare Provider Details

I. General information

NPI: 1477979870
Provider Name (Legal Business Name): RUMYANA RADZHOVA LICSW, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2014
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70B PEARSON HILL RD
WEBSTER NH
03303-7336
US

IV. Provider business mailing address

70B PEARSON HILL RD
WEBSTER NH
03303-7336
US

V. Phone/Fax

Practice location:
  • Phone: 603-998-4454
  • Fax:
Mailing address:
  • Phone: 603-998-4454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1068
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1087
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: