Provider Demographics
NPI:1609017938
Name:RAO, SHANTHI (MSW)
Entity Type:Individual
Prefix:MRS
First Name:SHANTHI
Middle Name:
Last Name:RAO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 THOMPSON ROAD
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-3014
Mailing Address - Country:US
Mailing Address - Phone:860-673-9912
Mailing Address - Fax:
Practice Address - Street 1:88 THOMPSON RD
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-3014
Practice Address - Country:US
Practice Address - Phone:860-673-9912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker