Provider Demographics
NPI:1073031480
Name:ASSAEL, RACHEL HELENE (LCSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:HELENE
Last Name:ASSAEL
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 1:4 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-1719
Mailing Address - Country:US
Mailing Address - Phone:212-263-8373
Mailing Address - Fax:212-263-3863
Practice Address - Street 1:4 MAIN ST
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-1719
Practice Address - Country:US
Practice Address - Phone:212-263-8373
Practice Address - Fax:212-263-3863
Is Sole Proprietor?:No
Enumeration Date:2017-09-06
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0884901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical