Provider Demographics
NPI:1356111355
Name:ROMAN, RACHEL ERIN
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ERIN
Last Name:ROMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ERIN
Other - Last Name:SOLITO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7301 E FRONTAGE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66204-1654
Mailing Address - Country:US
Mailing Address - Phone:913-789-1900
Mailing Address - Fax:913-789-1901
Practice Address - Street 1:7301 E FRONTAGE RD STE 100
Practice Address - Street 2:
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66204-1654
Practice Address - Country:US
Practice Address - Phone:913-789-1900
Practice Address - Fax:913-789-1901
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021013978104100000X
KS06643104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker