Provider Demographics
NPI:1538683347
Name:PARODNECK, RACHEL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:PARODNECK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 W 82ND ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5454
Mailing Address - Country:US
Mailing Address - Phone:862-368-4906
Mailing Address - Fax:
Practice Address - Street 1:212 W 82ND ST APT 2B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5454
Practice Address - Country:US
Practice Address - Phone:929-500-2113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY090919OtherNY OFFICE OF PROFESSIONS