Provider Demographics
NPI:1134679616
Name:BRITTAIN, RAECHEL ALEXANDRA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RAECHEL
Middle Name:ALEXANDRA
Last Name:BRITTAIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RAECHEL
Other - Middle Name:ALEXANDRA
Other - Last Name:CIPOLLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 HOLLY CIR
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:VA
Mailing Address - Zip Code:22963-3355
Mailing Address - Country:US
Mailing Address - Phone:804-928-9031
Mailing Address - Fax:
Practice Address - Street 1:6 HOLLY CIR
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:VA
Practice Address - Zip Code:22963-3355
Practice Address - Country:US
Practice Address - Phone:804-928-9031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-10
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1041C0700X
VA09040096461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical