Provider Demographics
NPI:1568797066
Name:CARFORA, RACHEL E (MSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:CARFORA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 WELLESLEY AVE
Mailing Address - Street 2:201
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-2554
Mailing Address - Country:US
Mailing Address - Phone:617-529-3803
Mailing Address - Fax:
Practice Address - Street 1:1410 WELLESLEY AVE
Practice Address - Street 2:201
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-2554
Practice Address - Country:US
Practice Address - Phone:617-529-3803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker