Provider Demographics
NPI:1356406359
Name:MURRAY, RACHEL ELAINE (MSW LICSW)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ELAINE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:SO HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03827
Mailing Address - Country:US
Mailing Address - Phone:603-394-7334
Mailing Address - Fax:
Practice Address - Street 1:60 MERRIMACK STREET
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830
Practice Address - Country:US
Practice Address - Phone:978-373-1126
Practice Address - Fax:978-373-6363
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA107045104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1312294Medicaid
MAP21254Medicare ID - Type Unspecified
HEP10093Medicare UPIN