Provider Demographics
NPI:1407299035
Name:ROSE-SANDOW, RACHEL (LSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:ROSE-SANDOW
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 COOLSPRING ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-4360
Mailing Address - Country:US
Mailing Address - Phone:724-437-1660
Mailing Address - Fax:
Practice Address - Street 1:150 COOLSPRING ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-4360
Practice Address - Country:US
Practice Address - Phone:724-437-1660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-13
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW129646104100000X
PACW0208741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker