Provider Demographics
NPI:1265808158
Name:NESTOR, RACHEL (MSW,LGSW, MPA)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:NESTOR
Suffix:
Gender:F
Credentials:MSW,LGSW, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 COOMBS FARM RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-1124
Mailing Address - Country:US
Mailing Address - Phone:304-241-1766
Mailing Address - Fax:
Practice Address - Street 1:4000 COOMBS FARM RD
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-1124
Practice Address - Country:US
Practice Address - Phone:304-241-1766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-14
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker