Provider Demographics
NPI:1700439072
Name:WILSON, RACHEL LANETT (MSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LANETT
Last Name:WILSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 FOREST DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-2316
Mailing Address - Country:US
Mailing Address - Phone:267-591-6829
Mailing Address - Fax:
Practice Address - Street 1:204 FOREST DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19804-2316
Practice Address - Country:US
Practice Address - Phone:267-591-6829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker