Provider Demographics
NPI:1205086923
Name:SACKENHEIM, RACHEL ANN (MSW, LISW-S)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:SACKENHEIM
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 1:9394 STERLING DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45241-5107
Mailing Address - Country:US
Mailing Address - Phone:513-779-3014
Mailing Address - Fax:513-779-3494
Practice Address - Street 1:9394 STERLING DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45241-5107
Practice Address - Country:US
Practice Address - Phone:513-779-3014
Practice Address - Fax:513-779-3494
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0701329.TRNE1041C0700X
OHI.1303087-SUPV104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical