Provider Demographics
NPI:1689664609
Name:STRACKA, RACHAEL ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RACHAEL
Middle Name:ELIZABETH
Last Name:STRACKA
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 1:127 E 3RD AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4248
Mailing Address - Country:US
Mailing Address - Phone:760-489-1092
Mailing Address - Fax:760-738-8128
Practice Address - Street 1:127 E 3RD AVE
Practice Address - Street 2:STE 201
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4248
Practice Address - Country:US
Practice Address - Phone:760-489-1092
Practice Address - Fax:760-738-8128
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 203061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical