Provider Demographics
NPI:1174923122
Name:RIMER, VALERIYA (LCSW)
Entity type:Individual
Prefix:
First Name:VALERIYA
Middle Name:
Last Name:RIMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 LINCOLN ST APT 5
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02141-1367
Mailing Address - Country:US
Mailing Address - Phone:617-797-1655
Mailing Address - Fax:
Practice Address - Street 1:101 LINCOLN ST APT 5
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02141-1367
Practice Address - Country:US
Practice Address - Phone:617-797-1655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA217580104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker