Provider Demographics
NPI:1295403608
Name:LOUDENSLAGER, RACHAEL CAULEY (LMSW)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:CAULEY
Last Name:LOUDENSLAGER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2653 SOUTHMOORE CV
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-5927
Mailing Address - Country:US
Mailing Address - Phone:901-335-9059
Mailing Address - Fax:
Practice Address - Street 1:3205 KIRBY WHITTEN RD STE 203D
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-2853
Practice Address - Country:US
Practice Address - Phone:901-430-5009
Practice Address - Fax:901-284-0527
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW0000013049104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker