Provider Demographics
NPI:1811667819
Name:HIRSHBERG, RACHEL MOLLY (ASW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MOLLY
Last Name:HIRSHBERG
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-4431
Mailing Address - Country:US
Mailing Address - Phone:650-933-8002
Mailing Address - Fax:
Practice Address - Street 1:2235 LAKE AVE
Practice Address - Street 2:
Practice Address - City:ALTADENA
Practice Address - State:CA
Practice Address - Zip Code:91001-2465
Practice Address - Country:US
Practice Address - Phone:626-486-2167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker