Provider Demographics
NPI:1033663331
Name:HOWARD, RACHEL ALEXANDRIA (LCSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ALEXANDRIA
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 CORONDELET LN
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-7305
Mailing Address - Country:US
Mailing Address - Phone:501-790-4905
Mailing Address - Fax:501-397-8562
Practice Address - Street 1:113 CORONDELET LN
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-7305
Practice Address - Country:US
Practice Address - Phone:501-790-4905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-04
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR8067-C1041C0700X
AR8067-M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical