Provider Demographics
NPI:1578250684
Name:TRIBBLE, RAYMOND HARREL (LMSW)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:HARREL
Last Name:TRIBBLE
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 MEDINAH CT
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-7106
Mailing Address - Country:US
Mailing Address - Phone:914-707-2443
Mailing Address - Fax:
Practice Address - Street 1:17 MEDINAH CT
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-7106
Practice Address - Country:US
Practice Address - Phone:914-707-2443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050731104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker