Provider Demographics
NPI:1477262996
Name:BOND, RACHEL G (LCSW-C)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:G
Last Name:BOND
Suffix:
Gender:
Credentials:LCSW-C
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:WIDENHOUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2615 WHITT RD
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21087-1044
Mailing Address - Country:US
Mailing Address - Phone:202-925-9454
Mailing Address - Fax:
Practice Address - Street 1:2615 WHITT RD
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21087-1044
Practice Address - Country:US
Practice Address - Phone:202-925-9454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-23
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28177104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker