Provider Demographics
NPI:1083778088
Name:FIGUEROA, RAUL (LCSW)
Entity Type:Individual
Prefix:MR
First Name:RAUL
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 SEAGIRT AVE
Mailing Address - Street 2:#1
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-2222
Mailing Address - Country:US
Mailing Address - Phone:347-291-3882
Mailing Address - Fax:
Practice Address - Street 1:2520 SEAGIRT AVE
Practice Address - Street 2:#1
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-2222
Practice Address - Country:US
Practice Address - Phone:347-291-3882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073297-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical