Provider Demographics
NPI:1013483007
Name:DRAGER, ROSE MARY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:MARY
Last Name:DRAGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ROSE
Other - Middle Name:
Other - Last Name:ASHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:31 UNION ST
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-3126
Mailing Address - Country:US
Mailing Address - Phone:860-872-0501
Mailing Address - Fax:860-872-5298
Practice Address - Street 1:31 UNION ST
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-3126
Practice Address - Country:US
Practice Address - Phone:860-872-0501
Practice Address - Fax:860-872-5298
Is Sole Proprietor?:No
Enumeration Date:2018-10-17
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0101591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical