Provider Demographics
NPI:1134478597
Name:RAMBUS, QUOTAICHI NACHION (MSW; LISW)
Entity Type:Individual
Prefix:MS
First Name:QUOTAICHI
Middle Name:NACHION
Last Name:RAMBUS
Suffix:
Gender:F
Credentials:MSW; LISW
Other - Prefix:
Other - First Name:Q. NACHION
Other - Middle Name:
Other - Last Name:RAMBUS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW; LISW
Mailing Address - Street 1:PSC 94 BOX 2033
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09824-0021
Mailing Address - Country:US
Mailing Address - Phone:419-215-8726
Mailing Address - Fax:
Practice Address - Street 1:39 MDG/SGH UNIT 7095 #185
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09824-5185
Practice Address - Country:US
Practice Address - Phone:314-676-6452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.12007011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical