Provider Demographics
NPI:1740382167
Name:SCHWARZ, RACHEL A (LICSW)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:A
Last Name:SCHWARZ
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 POWDER HOUSE BLVD
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-1531
Mailing Address - Country:US
Mailing Address - Phone:617-628-8853
Mailing Address - Fax:
Practice Address - Street 1:496 HARVARD ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-2435
Practice Address - Country:US
Practice Address - Phone:617-628-8853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1032891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP03333OtherBCBS
MA1851535Medicaid
MA007313OtherVALUE OPTIONS
P03333Medicare PIN