Rawa

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11560 Issued in FL

Legal business name

RAWA

Doing business as

lifespan counseling services

Practice address

28901 Trails Edge Blvd
#204
Bonita Springs, FL 34134-7588

Phone

(239) 565-2117

NPI assigned

Feb 9, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Claire A Ralli, LCSW

Title

Owner/Therapist

Phone

(239) 565-2117

Specialties & licenses 1

Addresses

Other names 1

• lifespan counseling services Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1427596444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 GULF RD",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120474983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28901 TRAILS EDGE BLVD",
            "address_2": "#204",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347588",
            "telephone_number": "239-565-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "RALLI",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "239-565-2117",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lifespan counseling services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.