Provider Demographics
NPI:1780178160
Name:VOLMERT, RACHEL KATHERINE (LCSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:KATHERINE
Last Name:VOLMERT
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 1:2424 ALCOTT ST UNIT 1010
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4906
Mailing Address - Country:US
Mailing Address - Phone:130-374-2082
Mailing Address - Fax:
Practice Address - Street 1:6240 SMITH RD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-4632
Practice Address - Country:US
Practice Address - Phone:720-799-9504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018020077104100000X
20200248811041C0700X
COCSW.099270001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2018020077OtherDIVISION OF PROFESSIONAL REGISTRATION
COCSW.09927000OtherDORA