Provider Demographics
NPI:1346535796
Name:SWENSON, RACHEL LYNN (LICSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNN
Last Name:SWENSON
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 1:33549 571ST AVE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:MN
Mailing Address - Zip Code:56054-3007
Mailing Address - Country:US
Mailing Address - Phone:507-276-9496
Mailing Address - Fax:507-359-2086
Practice Address - Street 1:230 4TH ST
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MN
Practice Address - Zip Code:55334-4443
Practice Address - Country:US
Practice Address - Phone:507-276-9496
Practice Address - Fax:507-299-9496
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN147941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical