Provider Demographics
NPI:1376850487
Name:REGISTER, RACHEL DOROTHY (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:DOROTHY
Last Name:REGISTER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MRS
Other - First Name:RACHEL
Other - Middle Name:DOROTHY
Other - Last Name:BERGEVIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW
Mailing Address - Street 1:30 TAUNTON GRN
Mailing Address - Street 2:SUITE 5
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-3243
Mailing Address - Country:US
Mailing Address - Phone:508-880-6666
Mailing Address - Fax:508-880-6655
Practice Address - Street 1:365 EAST ST
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-1950
Practice Address - Country:US
Practice Address - Phone:978-851-7321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-10
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical