Raymond John Diciccio, ASW
Social Worker, Clinical in Escondido, CA. Individual provider (NPI-1).
NPI number1982109682
StatusActive
Last updated in NPPESMay 4, 2023
Details
- NPI
- 1982109682
- Entity type
- Individual (NPI-1)
- Name
- Raymond John Diciccio
- Credential
- ASW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2018
- Certification date
- May 4, 2023
- Last updated
- May 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW101840 | CA | Yes |
Practice location
737 E Grand AveEscondido, CA 92025-4404
Phone 760-745-8478 · Fax 760-745-8478
Mailing address
737 E Grand AveEscondido, CA 92025-4404
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