Provider Demographics
NPI:1821879396
Name:RAUCCI, ALEXANDRA MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:MARIE
Last Name:RAUCCI
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 1:80 KIRKHAM ST APT 3
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-3574
Mailing Address - Country:US
Mailing Address - Phone:203-843-1707
Mailing Address - Fax:
Practice Address - Street 1:80 KIRKHAM ST APT 3
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-3574
Practice Address - Country:US
Practice Address - Phone:203-843-1707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0134331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008024427Medicaid
CT008039745Medicaid
CT008042339Medicaid
CT008109605Medicaid
CT008023170Medicaid