Provider Demographics
NPI:1821162579
Name:TAPFAR, RACHELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:RACHELLE
Middle Name:
Last Name:TAPFAR
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 1:17 COLONY RD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-3703
Mailing Address - Country:US
Mailing Address - Phone:203-221-8491
Mailing Address - Fax:
Practice Address - Street 1:47 LONG LOTS ROAD
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-3800
Practice Address - Country:US
Practice Address - Phone:203-221-8801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0029811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT800001095Medicare ID - Type Unspecified