Provider Demographics
NPI:1689145328
Name:ANYSZ, RACHEL (LSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:ANYSZ
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 W 8TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-4545
Mailing Address - Country:US
Mailing Address - Phone:814-516-2440
Mailing Address - Fax:814-315-9564
Practice Address - Street 1:2230 W 8TH ST STE 2
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-4545
Practice Address - Country:US
Practice Address - Phone:814-516-2440
Practice Address - Fax:814-315-9564
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-06
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
PASW135870104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker