Provider Demographics
NPI:1386838969
Name:RICHTER, RACHAEL A (MSW, LISW-S)
Entity Type:Individual
Prefix:MS
First Name:RACHAEL
Middle Name:A
Last Name:RICHTER
Suffix:
Gender:F
Credentials:MSW, LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE CHILDRENS PLAZA
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45404-1815
Mailing Address - Country:US
Mailing Address - Phone:937-641-5300
Mailing Address - Fax:937-641-5134
Practice Address - Street 1:ONE CHILDRENS PLAZA
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1815
Practice Address - Country:US
Practice Address - Phone:937-641-5300
Practice Address - Fax:937-641-5134
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 0005983104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker