Provider Demographics
NPI:1316656911
Name:ROBERTS, RACHEL RE (MSW)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:RE
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:RE
Other - Last Name:DELATORRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11717 S PLZ APT 312
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-4016
Mailing Address - Country:US
Mailing Address - Phone:602-206-9834
Mailing Address - Fax:
Practice Address - Street 1:11717 S PLZ APT 312
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-4016
Practice Address - Country:US
Practice Address - Phone:602-206-9834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker