Provider Demographics
NPI:1831103415
Name:MARSH, RACHEL Y (LMSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:Y
Last Name:MARSH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N BROADWAY ST
Mailing Address - Street 2:600
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67202-2324
Mailing Address - Country:US
Mailing Address - Phone:316-858-1200
Mailing Address - Fax:316-858-1204
Practice Address - Street 1:200 N BROADWAY ST
Practice Address - Street 2:600
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-2324
Practice Address - Country:US
Practice Address - Phone:316-858-1200
Practice Address - Fax:316-858-1204
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4685104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker