Provider Demographics
NPI:1932428414
Name:BAKER, RACHEL (RACHEL BAKER)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:RACHEL BAKER
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW, SUDP, MAC
Mailing Address - Street 1:PO BOX 262
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:WA
Mailing Address - Zip Code:99110
Mailing Address - Country:US
Mailing Address - Phone:509-402-1569
Mailing Address - Fax:
Practice Address - Street 1:222 W. MISSION AVENUE
Practice Address - Street 2:SUITE 232
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201
Practice Address - Country:US
Practice Address - Phone:509-402-1569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW 600312271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical