Provider Demographics
NPI:1619088846
Name:ISENBERG, RACHEL STEPHANIE (LCSW, ACSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:STEPHANIE
Last Name:ISENBERG
Suffix:
Gender:F
Credentials:LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 ZENDT DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-6228
Mailing Address - Country:US
Mailing Address - Phone:970-490-6851
Mailing Address - Fax:
Practice Address - Street 1:218 PETERSON ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2986
Practice Address - Country:US
Practice Address - Phone:970-490-6851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9920951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical