Provider Demographics
NPI:1770651275
Name:SCHMITT, RACHEL ELISE (MSW, LCSW, ACSW)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ELISE
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:MSW, LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 W HAYDEN ST
Mailing Address - Street 2:SUITE 210, P.O. BOX 271
Mailing Address - City:MARCELINE
Mailing Address - State:MO
Mailing Address - Zip Code:64658-1049
Mailing Address - Country:US
Mailing Address - Phone:660-376-3200
Mailing Address - Fax:
Practice Address - Street 1:225 W HAYDEN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:MARCELINE
Practice Address - State:MO
Practice Address - Zip Code:64658-1049
Practice Address - Country:US
Practice Address - Phone:660-376-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20030191261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical