Provider Demographics
NPI:1356749774
Name:BUXBAUM, RACHEL LEAH (DSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LEAH
Last Name:BUXBAUM
Suffix:
Gender:F
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 HARLAN CIR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40514-1767
Mailing Address - Country:US
Mailing Address - Phone:267-231-4723
Mailing Address - Fax:267-231-4723
Practice Address - Street 1:1105 HARLAN CIR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40514-1767
Practice Address - Country:US
Practice Address - Phone:267-231-4723
Practice Address - Fax:267-231-4723
Is Sole Proprietor?:No
Enumeration Date:2014-12-17
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0199761041C0700X
KY2534411041C0700X
PASW1307891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical