Provider Demographics
NPI:1184900490
Name:POKORNEY, RACHEL ROOS (LCSW-R)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ROOS
Last Name:POKORNEY
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:KATHERINE
Other - Last Name:ROOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:244 MADISON AVE # 1076
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2817
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:244 MADISON AVE # 1076
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2817
Practice Address - Country:US
Practice Address - Phone:646-653-4397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0840561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical