Provider Demographics
NPI:1932543923
Name:BILEK, RAFFI (LCSW-C)
Entity Type:Individual
Prefix:MR
First Name:RAFFI
Middle Name:
Last Name:BILEK
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 HANSON AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3910
Mailing Address - Country:US
Mailing Address - Phone:443-273-4046
Mailing Address - Fax:
Practice Address - Street 1:103 OLD COURT RD STE A
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-4002
Practice Address - Country:US
Practice Address - Phone:443-598-2821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-22
Last Update Date:2022-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05651500104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker