Provider Demographics
NPI:1710490560
Name:NEFF, RACHELLE E (LSW, LCDC III)
Entity Type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:E
Last Name:NEFF
Suffix:
Gender:F
Credentials:LSW, LCDC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31531 STATE ROUTE 327
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:OH
Mailing Address - Zip Code:45647-8500
Mailing Address - Country:US
Mailing Address - Phone:740-447-3210
Mailing Address - Fax:
Practice Address - Street 1:31053 INDUSTRIAL PARK DR STE 3
Practice Address - Street 2:
Practice Address - City:MC ARTHUR
Practice Address - State:OH
Practice Address - Zip Code:45651-9023
Practice Address - Country:US
Practice Address - Phone:740-596-9673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1600678104100000X
OHLCDCIII.161474101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker