Provider Demographics
NPI:1811729981
Name:RICHTER, RACHAEL KARIN (LCSW, MPH)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:KARIN
Last Name:RICHTER
Suffix:
Gender:F
Credentials:LCSW, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1144 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-6797
Mailing Address - Country:US
Mailing Address - Phone:215-351-5560
Mailing Address - Fax:267-536-4191
Practice Address - Street 1:1144 LOCUST ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-6797
Practice Address - Country:US
Practice Address - Phone:215-351-5560
Practice Address - Fax:267-536-4191
Is Sole Proprietor?:No
Enumeration Date:2024-08-16
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW136913104100000X
PACW0237281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker