Provider Demographics
NPI:1639470628
Name:VOLODARSKY, RACHEL E (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:E
Last Name:VOLODARSKY
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 1:255 S. 17TH ST.
Mailing Address - Street 2:#1010
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-3220
Mailing Address - Country:US
Mailing Address - Phone:267-507-1310
Mailing Address - Fax:
Practice Address - Street 1:255 S. 17TH ST.
Practice Address - Street 2:#1010
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103
Practice Address - Country:US
Practice Address - Phone:267-507-1310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-08
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW126351101YM0800X
PACW0213231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health