Provider Demographics
NPI:1275941551
Name:FELTON, RACHEL KARIM (LICSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:KARIM
Last Name:FELTON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 1ST AVE APT 404
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-2134
Mailing Address - Country:US
Mailing Address - Phone:248-613-9138
Mailing Address - Fax:
Practice Address - Street 1:100 N HOWARD ST UNIT W
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-1115
Practice Address - Country:US
Practice Address - Phone:248-613-9138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-30
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC607158251041C0700X
WALW614351281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical