Provider Demographics
NPI:1639189467
Name:VILLALOBOS-MADEWELL, RACHEL (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:VILLALOBOS-MADEWELL
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 1:2211 N MAIN ST STE 7
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-1136
Mailing Address - Country:US
Mailing Address - Phone:575-635-8294
Mailing Address - Fax:
Practice Address - Street 1:2211 N MAIN ST STE 7
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-1136
Practice Address - Country:US
Practice Address - Phone:575-635-8294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-31331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical