Provider Demographics
NPI:1124804984
Name:KNAUSS, RACHEL BLAISE (ACSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:BLAISE
Last Name:KNAUSS
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:BLAISE
Other - Last Name:HABERMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSSW
Mailing Address - Street 1:3887 CORINA WAY
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-4507
Mailing Address - Country:US
Mailing Address - Phone:650-521-4862
Mailing Address - Fax:
Practice Address - Street 1:2170 THE ALAMEDA STE 102
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-1132
Practice Address - Country:US
Practice Address - Phone:833-878-7864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1145511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical