Provider Demographics
NPI:1255981783
Name:NAGESH, RACHAEL HARRIS (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:HARRIS
Last Name:NAGESH
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2628 LEX LN
Mailing Address - Street 2:
Mailing Address - City:NEW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27562-9326
Mailing Address - Country:US
Mailing Address - Phone:919-656-8170
Mailing Address - Fax:
Practice Address - Street 1:6330 QUADRANGLE DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-8279
Practice Address - Country:US
Practice Address - Phone:737-988-8849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-17
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0131081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical