Provider Demographics
NPI:1518691732
Name:CALHOUN, RACHEL (MSW, LISWS)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:MSW, LISWS
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:KLCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW
Mailing Address - Street 1:38590 ADKINS RD
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-7511
Mailing Address - Country:US
Mailing Address - Phone:440-796-0541
Mailing Address - Fax:
Practice Address - Street 1:38590 ADKINS RD
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-7511
Practice Address - Country:US
Practice Address - Phone:440-796-0541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI12003031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical