Provider Demographics
NPI:1639298748
Name:COATES-CAMPBELL, RACHEL JEAN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:JEAN
Last Name:COATES-CAMPBELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:JEAN
Other - Last Name:COATES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:4607 LAKEVIEW CANYON RD # 378
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-4028
Mailing Address - Country:US
Mailing Address - Phone:805-283-7181
Mailing Address - Fax:
Practice Address - Street 1:4607 LAKEVIEW CANYON RD # 378
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-4028
Practice Address - Country:US
Practice Address - Phone:805-283-7181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
CALCSW238821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical