Provider Demographics
NPI:1811562796
Name:DAHL, RACHEL LOUISE (MSW, LSWAIC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LOUISE
Last Name:DAHL
Suffix:
Gender:F
Credentials:MSW, LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9523 225TH WAY NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-2029
Mailing Address - Country:US
Mailing Address - Phone:425-698-8743
Mailing Address - Fax:
Practice Address - Street 1:9523 225TH WAY NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-2029
Practice Address - Country:US
Practice Address - Phone:425-698-8743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC610700021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical