Provider Demographics
NPI:1811500697
Name:CAVALLARO, RACHAEL CHRISTINE (BFA, MSW)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:CHRISTINE
Last Name:CAVALLARO
Suffix:
Gender:F
Credentials:BFA, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 CRANDALL RD APT 5
Mailing Address - Street 2:
Mailing Address - City:TIVERTON
Mailing Address - State:RI
Mailing Address - Zip Code:02878-2778
Mailing Address - Country:US
Mailing Address - Phone:203-535-9453
Mailing Address - Fax:
Practice Address - Street 1:1070 CRANDALL RD APT 5
Practice Address - Street 2:
Practice Address - City:TIVERTON
Practice Address - State:RI
Practice Address - Zip Code:02878-2778
Practice Address - Country:US
Practice Address - Phone:203-535-9453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health