Provider Demographics
NPI:1164672960
Name:RICCI TRAHAN, CELESTE ANN (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:CELESTE
Middle Name:ANN
Last Name:RICCI TRAHAN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 ALEXIS LN
Mailing Address - Street 2:
Mailing Address - City:HAMPTON FALLS
Mailing Address - State:NH
Mailing Address - Zip Code:03844-2106
Mailing Address - Country:US
Mailing Address - Phone:603-498-1210
Mailing Address - Fax:
Practice Address - Street 1:9 ALEXIS LN
Practice Address - Street 2:
Practice Address - City:HAMPTON FALLS
Practice Address - State:NH
Practice Address - Zip Code:03844-2106
Practice Address - Country:US
Practice Address - Phone:603-498-1210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10167281041C0700X
NH12501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical