Provider Demographics
NPI:1821448192
Name:MCDANIEL, RACHEL M (LSCSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:MCDANIEL
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:M
Other - Last Name:SWENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 N BROADWAY AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67202-2322
Mailing Address - Country:US
Mailing Address - Phone:316-302-4842
Mailing Address - Fax:316-425-7779
Practice Address - Street 1:200 N BROADWAY AVE STE 500
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-2322
Practice Address - Country:US
Practice Address - Phone:316-302-4842
Practice Address - Fax:316-425-7779
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-17
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS062111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical