Provider Demographics
NPI:1649037946
Name:PARKER, RACHEL (LMSW-C, SSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:LMSW-C, SSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7533 LA JESSICA CIR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-7547
Mailing Address - Country:US
Mailing Address - Phone:269-270-6309
Mailing Address - Fax:
Practice Address - Street 1:7533 LA JESSICA CIR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-7547
Practice Address - Country:US
Practice Address - Phone:269-270-6309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801087517104100000X, 1041S0200X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool