Provider Demographics
NPI:1669125019
Name:RAINS, IVETTE JEANETTE (LMSW)
Entity type:Individual
Prefix:
First Name:IVETTE
Middle Name:JEANETTE
Last Name:RAINS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 AMHEARST ROW
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-2853
Mailing Address - Country:US
Mailing Address - Phone:954-648-3883
Mailing Address - Fax:
Practice Address - Street 1:1352 EISENHOWER DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3902
Practice Address - Country:US
Practice Address - Phone:912-354-8014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW009688104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker