Provider Demographics
NPI:1568721207
Name:FREEMAN, RACHEL LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNN
Last Name:FREEMAN
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 1:2100 COSTA DEL MAR RD
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-6823
Mailing Address - Country:US
Mailing Address - Phone:999-488-8936
Mailing Address - Fax:
Practice Address - Street 1:2100 COSTA DEL MAR RD
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-6823
Practice Address - Country:US
Practice Address - Phone:888-488-8936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASW820801041C0700X
FLSW115391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical