Individual
MARY KATHERINE RASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
51 WESTFORD ROAD, PROVIDENCE, RI 02906
(401) 451-1867
(401) 274-0091
Mailing address
51 WESTFORD ROAD, PROVIDENCE, RI 02906
(401) 451-1867
(401) 274-0091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00891
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003872
BLUE CHIP
RI
01
—
218230
TUFTS HEALTH PLAN
RI
01
—
30713-8
BLUE CROSS
RI
01
—
62-19051
UNITED BEHAVIORAL HEALTH
RI
05
—
MR03483
—
RI
Enumeration date
06/09/2006
Last updated
04/05/2012
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