Provider Demographics
NPI:1528218229
Name:CORSCADDEN, RAEANNE
Entity Type:Individual
Prefix:MS
First Name:RAEANNE
Middle Name:
Last Name:CORSCADDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2097
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02741-2097
Mailing Address - Country:US
Mailing Address - Phone:508-999-3126
Mailing Address - Fax:
Practice Address - Street 1:32R GIFFORD ST.
Practice Address - Street 2:
Practice Address - City:NEWBEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02744
Practice Address - Country:US
Practice Address - Phone:508-999-3126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker