Provider Demographics
NPI:1144086455
Name:POSSEN, RAY L (MSW, RCSWI, CTP)
Entity type:Individual
Prefix:
First Name:RAY
Middle Name:L
Last Name:POSSEN
Suffix:
Gender:M
Credentials:MSW, RCSWI, CTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3665 E SANDPIPER DR APT 4
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-2459
Mailing Address - Country:US
Mailing Address - Phone:561-800-3024
Mailing Address - Fax:
Practice Address - Street 1:3665 E SANDPIPER DR APT 4
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-2459
Practice Address - Country:US
Practice Address - Phone:561-800-3024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-23
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW18815104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker