Provider Demographics
NPI:1932353844
Name:D'AURIA, SAMANTHA RAGGI (MS LCSW)
Entity type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:RAGGI
Last Name:D'AURIA
Suffix:
Gender:F
Credentials:MS LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 GROVE ST
Mailing Address - Street 2:12G
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310-1266
Mailing Address - Country:US
Mailing Address - Phone:312-399-2667
Mailing Address - Fax:
Practice Address - Street 1:1182 TEANECK RD STE 206
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4838
Practice Address - Country:US
Practice Address - Phone:201-589-0552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-06
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY075515104100000X
NJ44SC054847001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker