Provider Demographics
NPI:1205183084
Name:TRIBBLE, RACHEL HOPE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:HOPE
Last Name:TRIBBLE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:HOPE
Other - Last Name:BREZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1882 CAPITAL CIR NE STE 201
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4568
Mailing Address - Country:US
Mailing Address - Phone:850-296-0551
Mailing Address - Fax:
Practice Address - Street 1:1882 CAPITAL CIR NE STE 201
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4568
Practice Address - Country:US
Practice Address - Phone:850-296-0551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-10
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW15631104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker