Provider Demographics
NPI:1669989059
Name:WILLIAMS, RACHEL DAWN (LCSW)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:DAWN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1533 DEWITT LN
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-6576
Mailing Address - Country:US
Mailing Address - Phone:305-240-0151
Mailing Address - Fax:
Practice Address - Street 1:1533 DEWITT LN
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-6576
Practice Address - Country:US
Practice Address - Phone:305-240-0151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-07
Last Update Date:2018-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL121201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical