Provider Demographics
NPI:1558569632
Name:WOODS, RACHAEL LYNN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:LYNN
Last Name:WOODS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:RACHAEL
Other - Middle Name:LYNN
Other - Last Name:HENDRICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1017 ARCTIC CIR
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-8754
Mailing Address - Country:US
Mailing Address - Phone:907-500-4074
Mailing Address - Fax:
Practice Address - Street 1:2075 JORDAN AVE
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801
Practice Address - Country:US
Practice Address - Phone:907-789-7610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS234261041C0700X
AKCSWS11141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical