Provider Demographics
NPI:1376882548
Name:STONECIPHER, RACHEL (LCSWA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:STONECIPHER
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:KECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2022 FALL DR APT B
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-6862
Mailing Address - Country:US
Mailing Address - Phone:303-884-7333
Mailing Address - Fax:
Practice Address - Street 1:2875 WORTH DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-6248
Practice Address - Country:US
Practice Address - Phone:910-392-4881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0077351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical