Provider Demographics
NPI:1467652131
Name:CAIN JEWELL, RACHEL S (LISW-S)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:S
Last Name:CAIN JEWELL
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28985 FALL RIVER DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5232
Mailing Address - Country:US
Mailing Address - Phone:440-477-8145
Mailing Address - Fax:
Practice Address - Street 1:4015 MEDINA RD STE 90
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-5970
Practice Address - Country:US
Practice Address - Phone:330-331-5800
Practice Address - Fax:330-331-5805
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.00241901041C0700X
OHI00241901041C0700X
OH1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical