Provider Demographics
NPI:1922532761
Name:RAHE, BARBARA (MSW, LISW-S)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:RAHE
Suffix:
Gender:F
Credentials:MSW, LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 STATE ROUTE 380
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-9710
Mailing Address - Country:US
Mailing Address - Phone:937-477-2374
Mailing Address - Fax:
Practice Address - Street 1:7970 CLYO RD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-4835
Practice Address - Country:US
Practice Address - Phone:937-204-7402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-19
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1451282.SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical