Raeven, Agnes
Raeven, Agnes is an sole proprietor health care provider with primary practice located at 3 Theatre Ctr , Sparta NJ 07871-2410. She recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Raeven, Agnes can be contacted via phone (973) 729-3722.Contact Information
Primary practice address
3 Theatre Ctr
Sparta NJ 07871-2410
Phone: (973) 729-3722
Fax: (570) 296-2043
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | SCO8663 | New Jersey |
Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | SCO8663 | New Jersey |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | SCO8663 | New Jersey |
Behavioral Health & Social Service Providers / Family | 103TF0000X | SCO8663 | New Jersey |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | SCO8663 | New Jersey |
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | SCO8663 | New Jersey |
Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | SCO8663 | New Jersey |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | SCO8663 | New Jersey |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | SCO8663 | New Jersey |
Profile Details
NPI number | 1700917820 |
---|---|
LBN Legal business name | Raeven, Agnes |
Credentials | ACSW, LCSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 8th, 2007 |
Last updated | Oct 9th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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