Provider Demographics
NPI:1902959109
Name:RASKIN, EDITH L (MSW, LICSW MA101299)
Entity Type:Individual
Prefix:MRS
First Name:EDITH
Middle Name:L
Last Name:RASKIN
Suffix:
Gender:F
Credentials:MSW, LICSW MA101299
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 CRAFTSLAND RD
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-2678
Mailing Address - Country:US
Mailing Address - Phone:617-738-5568
Mailing Address - Fax:
Practice Address - Street 1:841 MAIN ST
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-2997
Practice Address - Country:US
Practice Address - Phone:508-660-6699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical