Provider Demographics
NPI:1356786362
Name:WEISSER, RACHEL (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:WEISSER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:LAUBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, CSWA
Mailing Address - Street 1:1210 DRY HOLLOW RD
Mailing Address - Street 2:STE 6
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-3167
Mailing Address - Country:US
Mailing Address - Phone:541-340-4076
Mailing Address - Fax:888-526-0535
Practice Address - Street 1:1210 DRY HOLLOW RD STE 6
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058
Practice Address - Country:US
Practice Address - Phone:503-710-5709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-03
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL63071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical