Provider Demographics
NPI:1609593201
Name:ROSS, RACHEL DUCOTE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:DUCOTE
Last Name:ROSS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ELIZABETH
Other - Last Name:DUCOTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:130 26TH ST NW APT 712
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-4802
Mailing Address - Country:US
Mailing Address - Phone:504-655-6746
Mailing Address - Fax:
Practice Address - Street 1:130 26TH ST NW APT 712
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-4802
Practice Address - Country:US
Practice Address - Phone:504-655-6746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0082581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical