Provider Demographics
NPI:1053894824
Name:RAUSEO, CAROL
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:RAUSEO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 ROYAL CREST DR APT 8
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6463
Mailing Address - Country:US
Mailing Address - Phone:978-502-1878
Mailing Address - Fax:
Practice Address - Street 1:21 ROYAL CREST DR APT 8
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6463
Practice Address - Country:US
Practice Address - Phone:978-502-1878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101552-SW-LICSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical