Raelson, Roberta Ann
Raelson, Roberta Ann is an individual health care provider with primary practice located at 601 Wall St , Valparaiso IN 46383-2512. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Raelson, Roberta Ann can be contacted via phone (219) 531-3500.Contact Information
Primary practice address
601 Wall St
Valparaiso IN 46383-2512
Phone: (219) 531-3500
Fax: (219) 462-3975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34003544A | Indiana |
Profile Details
| NPI number | 1386622751 |
|---|---|
| LBN Legal business name | Raelson, Roberta Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Mar 18th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386622751 | NPPES |
| Indiana | Other | 000000325401 | ANTHEM |
| Indiana | Other | 34003544A | ANTHEM |
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