Provider Demographics
NPI:1295252211
Name:FREIDENREICH, RACHEL (LMSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:FREIDENREICH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30800 TELEGRAPH RD STE 1710
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-5728
Mailing Address - Country:US
Mailing Address - Phone:561-350-9159
Mailing Address - Fax:
Practice Address - Street 1:30800 TELEGRAPH RD STE 1710
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-5728
Practice Address - Country:US
Practice Address - Phone:561-350-9159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011017251041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical