Provider Demographics
NPI:1902456668
Name:RACQUEL SEMERARO INC.
Entity Type:Organization
Organization Name:RACQUEL SEMERARO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMERARO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:571-277-1771
Mailing Address - Street 1:6072 CAMERONS FERRY DR
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-3332
Mailing Address - Country:US
Mailing Address - Phone:571-277-1771
Mailing Address - Fax:
Practice Address - Street 1:10560 MAIN ST STE 311
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-7175
Practice Address - Country:US
Practice Address - Phone:571-277-1771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-16
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty