Provider Demographics
NPI:1891000782
Name:RINGWOOD, RACHAEL A (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:A
Last Name:RINGWOOD
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2029 SE JEFFERSON ST STE 107
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222-7605
Mailing Address - Country:US
Mailing Address - Phone:385-743-1725
Mailing Address - Fax:877-449-3910
Practice Address - Street 1:2029 SE JEFFERSON ST STE 107
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-7605
Practice Address - Country:US
Practice Address - Phone:385-743-1725
Practice Address - Fax:877-449-3910
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-16
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7743066-35061041C0700X
ORL73551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical