Heather Valerie Raymo, LCSW

Individual provider Active NPI Clinical Social Worker · Hesperus, CO

NPI 1164041885 · NPPES record last updated Apr 13, 2020

Key facts

NPI
1164041885
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
00992223 (CO)
Practice address
1870 CR 135
Hesperus, CO 81326
Phone
(970) 903-8387
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
00992223COMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 00992223 CO Yes

Addresses

Primary practice location

1870 CR 135
Hesperus, CO 81326

Mailing address

10 Town PLZ # 334
Durango, CO 81301-5104
Phone (970) 903-8387

Other providers in Hesperus, CO

All providers in Hesperus, CO · Clinical Social Worker in Colorado

Sources for this page

Verify at the official NPI Registry.