Provider Demographics
NPI:1831550011
Name:RAPHEL, EMILY F (LCSW)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:F
Last Name:RAPHEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2007 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-2913
Mailing Address - Country:US
Mailing Address - Phone:732-672-7840
Mailing Address - Fax:
Practice Address - Street 1:30 S PLAINFIELD AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-3409
Practice Address - Country:US
Practice Address - Phone:908-777-7356
Practice Address - Fax:732-353-5298
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-15
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054353001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical