Provider Demographics
NPI:1689754947
Name:GABRIEL, RACHEL (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:LAUTURE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:112 MCNAMARA ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:10977
Mailing Address - Country:US
Mailing Address - Phone:845-362-4404
Mailing Address - Fax:
Practice Address - Street 1:5050 ISELIN AVENUE
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:NY
Practice Address - Zip Code:10977
Practice Address - Country:US
Practice Address - Phone:718-549-6700
Practice Address - Fax:718-796-4614
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073164104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker