Provider Demographics
NPI:1952448490
Name:ALMEIDA, RAYMOND L (LCSW)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:L
Last Name:ALMEIDA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06110-1014
Mailing Address - Country:US
Mailing Address - Phone:860-543-9040
Mailing Address - Fax:860-543-9040
Practice Address - Street 1:75 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06110-1014
Practice Address - Country:US
Practice Address - Phone:860-543-9040
Practice Address - Fax:860-543-9040
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0061031041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2433500OtherCIGNA
CT140006103CT03OtherANTHEM BLUE CROSS BLUE SHIELD