Provider Demographics
NPI:1356956445
Name:CONSTANCE, RACHEL (LSW)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:CONSTANCE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137B STONY HILL RD
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-1383
Mailing Address - Country:US
Mailing Address - Phone:173-269-3164
Mailing Address - Fax:
Practice Address - Street 1:MARGO RAPPAPORT
Practice Address - Street 2:193 US 9 SUITE 2D
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726
Practice Address - Country:US
Practice Address - Phone:732-658-2433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-15
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC062182001041C0700X
44SL05077800104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker