Provider Demographics
NPI:1922780659
Name:CRUMP, RACHEL (MSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:CRUMP
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 E 62ND ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4323
Mailing Address - Country:US
Mailing Address - Phone:863-529-3082
Mailing Address - Fax:
Practice Address - Street 1:835 E 65TH ST STE 104
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4430
Practice Address - Country:US
Practice Address - Phone:912-355-1440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)