Provider Demographics
NPI:1164938122
Name:GABRIEL-NELSON, RACHEL A (LSCSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:GABRIEL-NELSON
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:G
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1412 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002-1203
Mailing Address - Country:US
Mailing Address - Phone:913-367-4879
Mailing Address - Fax:913-367-0240
Practice Address - Street 1:1412 N 2ND ST
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-1203
Practice Address - Country:US
Practice Address - Phone:913-367-4879
Practice Address - Fax:913-367-0240
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-28
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20060135871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical