Provider Demographics
NPI:1194529347
Name:OKUN, RACHAEL (LCSW-C)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:OKUN
Suffix:
Gender:
Credentials:LCSW-C
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 95
Mailing Address - Street 2:
Mailing Address - City:CALIFORNIA
Mailing Address - State:MD
Mailing Address - Zip Code:20619-0095
Mailing Address - Country:US
Mailing Address - Phone:847-710-2198
Mailing Address - Fax:
Practice Address - Street 1:22983 BUTTERNUT LN
Practice Address - Street 2:
Practice Address - City:CALIFORNIA
Practice Address - State:MD
Practice Address - Zip Code:20619-2124
Practice Address - Country:US
Practice Address - Phone:847-710-2198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD249651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical