Provider Demographics
NPI:1053458182
Name:RAJOTTE, DENISE DIANNE (MSW)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:DIANNE
Last Name:RAJOTTE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 NICHOLS AVE
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-4134
Mailing Address - Country:US
Mailing Address - Phone:617-924-0980
Mailing Address - Fax:
Practice Address - Street 1:188 NEEDHAM ST
Practice Address - Street 2:SUITE 200
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02464-1596
Practice Address - Country:US
Practice Address - Phone:617-527-4610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2123231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical