Provider Demographics
NPI:1285978965
Name:CORNETT, RACHEL ELIZABETH (LCSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:CORNETT
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:CORNETT
Other - Last Name:MAXEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3711 BRIDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-2873
Mailing Address - Country:US
Mailing Address - Phone:804-382-0443
Mailing Address - Fax:
Practice Address - Street 1:3711 BRIDGEWATER DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-2873
Practice Address - Country:US
Practice Address - Phone:804-382-0443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040076681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical