Provider Demographics
NPI:1508340670
Name:BUCK, RACHEL M (LMSW-CC)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:M
Last Name:BUCK
Suffix:
Gender:F
Credentials:LMSW-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RSU 56
Mailing Address - Street 2:145 WELD ST
Mailing Address - City:DIXFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04224
Mailing Address - Country:US
Mailing Address - Phone:207-562-4251
Mailing Address - Fax:
Practice Address - Street 1:DIRIGO HIGH SCHOOL
Practice Address - Street 2:145 WELD ST
Practice Address - City:DIXFIELD
Practice Address - State:ME
Practice Address - Zip Code:04224
Practice Address - Country:US
Practice Address - Phone:207-562-4251
Practice Address - Fax:207-364-1718
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC6620101YA0400X
MEMC183921041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MECAC6620OtherDEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION BOARD OF ALCOHOL & DRUG COUN