Provider Demographics
NPI:1417385618
Name:FOREMAN, RACHEL (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:FOREMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
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 91502
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70509-1502
Mailing Address - Country:US
Mailing Address - Phone:337-989-9144
Mailing Address - Fax:
Practice Address - Street 1:141 RIDGEWAY DR STE 108
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3402
Practice Address - Country:US
Practice Address - Phone:337-989-9144
Practice Address - Fax:866-811-5090
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA77341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical