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Contact Information

AGNES RAEVEN, ACSW, LCSW
3 THEATRE CTR
SPARTA TOWNSHIP, NJ07871-2410
 Phone: 973-729-3722
 Fax: 570-296-2043
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AGNES RAEVEN · (Female)

NPI # 1700917820
Status Active
Credentials ACSW, LCSW
Entity Individual
Enumeration date 03/08/2007
Last updated 10/09/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # SCO8663
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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