Provider Demographics
NPI:1154897320
Name:SCHWARTZ, RACHEL CLAIRE (LICSW)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:CLAIRE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 286
Mailing Address - Street 2:
Mailing Address - City:MILLIS
Mailing Address - State:MA
Mailing Address - Zip Code:02054-0286
Mailing Address - Country:US
Mailing Address - Phone:607-222-6346
Mailing Address - Fax:
Practice Address - Street 1:3 STONEYBROOK DR APT 4
Practice Address - Street 2:
Practice Address - City:MILLIS
Practice Address - State:MA
Practice Address - Zip Code:02054-1650
Practice Address - Country:US
Practice Address - Phone:607-222-6346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-15
Last Update Date:2023-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0823101041C0700X
MA1222931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical