Provider Demographics
NPI:1942888318
Name:COLE GLOD, RACHEL MARIE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:MARIE
Last Name:COLE GLOD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:MARIE
Other - Last Name:GLOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:80 N MOORE ST APT 15B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-2732
Mailing Address - Country:US
Mailing Address - Phone:413-824-1602
Mailing Address - Fax:
Practice Address - Street 1:80 N MOORE ST APT 15B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-2732
Practice Address - Country:US
Practice Address - Phone:413-824-1602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker