Provider Demographics
NPI:1235234550
Name:RAKO, CAROL B (LICSW)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:B
Last Name:RAKO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:RUTH
Other - Last Name:BUSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:87 FRUIT ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:MA
Mailing Address - Zip Code:02056-1162
Mailing Address - Country:US
Mailing Address - Phone:508-520-3325
Mailing Address - Fax:508-528-5995
Practice Address - Street 1:28 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-1937
Practice Address - Country:US
Practice Address - Phone:781-784-7733
Practice Address - Fax:508-528-5995
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical