Provider Demographics
NPI:1902009129
Name:SICHERMAN, RACHEL MAX (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:MAX
Last Name:SICHERMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:KRUPNICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:137 MAIN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-9231
Mailing Address - Country:US
Mailing Address - Phone:973-634-5043
Mailing Address - Fax:
Practice Address - Street 1:137 MAIN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MONTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07045-9231
Practice Address - Country:US
Practice Address - Phone:973-634-5043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL04690600104100000X
NJ44SC057632001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker