Provider Demographics
NPI:1629258215
Name:BUTTERFIELD, LCSW, RAECHEL MEREDITH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RAECHEL
Middle Name:MEREDITH
Last Name:BUTTERFIELD, LCSW
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 1:41870 KALMIA ST STE 165
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-8850
Mailing Address - Country:US
Mailing Address - Phone:951-696-3501
Mailing Address - Fax:
Practice Address - Street 1:1020 S SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-7000
Practice Address - Country:US
Practice Address - Phone:760-305-8225
Practice Address - Fax:760-305-8232
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW764431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty