Provider Demographics
NPI:1164949392
Name:GAY, RACHAEL FRANCES (LICSW (MA), LCSW (CA)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:FRANCES
Last Name:GAY
Suffix:
Gender:F
Credentials:LICSW (MA), LCSW (CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 635058
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92163-5058
Mailing Address - Country:US
Mailing Address - Phone:619-241-4601
Mailing Address - Fax:
Practice Address - Street 1:1110 F ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-6609
Practice Address - Country:US
Practice Address - Phone:619-241-4601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-28
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker