Provider Demographics
NPI:1437882909
Name:RUSSELL, RACHEL (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:RUSSELL
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1541 E 98TH AVE
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-2210
Mailing Address - Country:US
Mailing Address - Phone:720-438-9020
Mailing Address - Fax:
Practice Address - Street 1:1541 E 98TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-2210
Practice Address - Country:US
Practice Address - Phone:720-438-9020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-02
Last Update Date:2022-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker