Provider Demographics
NPI:1376897918
Name:MORRISON-WHITESIDE, RACHEL E (MSW)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:E
Last Name:MORRISON-WHITESIDE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7755 S TROY ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60652-1922
Mailing Address - Country:US
Mailing Address - Phone:773-403-7546
Mailing Address - Fax:
Practice Address - Street 1:7755 S TROY ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60652-1922
Practice Address - Country:US
Practice Address - Phone:773-403-7546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker