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Contact Information

SAL RAICHBACH, LCSW
1035 STATE RD 7
SUITE 315
WELLINGTON, FL33414
 Phone: 561-693-8703
 Fax: 561-791-8565
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for SAL RAICHBACH · (Male)

NPI Number 1164453304
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 07/05/2006
Last updated 09/30/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # SW7852
  • NY License # R54325-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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