Provider Demographics
NPI:1508055179
Name:MEEKER, RAEANN R (MSW, RCSWI)
Entity Type:Individual
Prefix:
First Name:RAEANN
Middle Name:R
Last Name:MEEKER
Suffix:
Gender:F
Credentials:MSW, RCSWI
Other - Prefix:
Other - First Name:RAEANN
Other - Middle Name:R
Other - Last Name:MEEKER-SPREITZER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, RCSWI
Mailing Address - Street 1:508 FULTON ST
Mailing Address - Street 2:SOCIAL WORK SERVICE (122)
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-3875
Mailing Address - Country:US
Mailing Address - Phone:919-286-6974
Mailing Address - Fax:919-416-5834
Practice Address - Street 1:508 FULTON ST
Practice Address - Street 2:SOCIAL WORK SERVICE (122)
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3875
Practice Address - Country:US
Practice Address - Phone:919-286-6974
Practice Address - Fax:919-416-5834
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW 3081104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker