Provider Demographics
NPI:1902821952
Name:RAUCH, STEVEN PAUL (LCSW)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:PAUL
Last Name:RAUCH
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2864 S CIRCLE DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4114
Mailing Address - Country:US
Mailing Address - Phone:719-531-9211
Mailing Address - Fax:719-577-9627
Practice Address - Street 1:2864 S CIRCLE DR
Practice Address - Street 2:SUITE 500
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4114
Practice Address - Country:US
Practice Address - Phone:719-531-9211
Practice Address - Fax:719-577-9627
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9897311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical