Provider Demographics
NPI:1376679134
Name:KNECHT, RACHEL A (LCSW, ACSW, SAP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:KNECHT
Suffix:
Gender:F
Credentials:LCSW, ACSW, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 RIDGELAKE DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-4966
Mailing Address - Country:US
Mailing Address - Phone:504-828-8232
Mailing Address - Fax:504-324-0424
Practice Address - Street 1:2901 RIDGELAKE DR
Practice Address - Street 2:SUITE 104
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4966
Practice Address - Country:US
Practice Address - Phone:504-828-8232
Practice Address - Fax:504-324-0424
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA35001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4B342Medicare ID - Type UnspecifiedMEDICARE