Provider Demographics
NPI:1891867990
Name:WILLYUNG, RACHEL A (LCSW)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:A
Last Name:WILLYUNG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:A
Other - Last Name:ROSAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3 BROAD STREET
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-1742
Mailing Address - Country:US
Mailing Address - Phone:732-303-0066
Mailing Address - Fax:732-303-0101
Practice Address - Street 1:3 BROAD STREET
Practice Address - Street 2:SUITE 100A
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-1742
Practice Address - Country:US
Practice Address - Phone:732-303-0066
Practice Address - Fax:732-303-0101
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC051780001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical