Provider Demographics
NPI:1558641860
Name:CAYTON BARDEN, RACHAEL NOEL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RACHAEL
Middle Name:NOEL
Last Name:CAYTON BARDEN
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 1:8828 MOUNTAIN PATH CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-7209
Mailing Address - Country:US
Mailing Address - Phone:512-343-2814
Mailing Address - Fax:
Practice Address - Street 1:8828 MOUNTAIN PATH CIR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-7209
Practice Address - Country:US
Practice Address - Phone:512-343-2814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX404191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical