Provider Demographics
NPI:1821448192
Name:MCDANIEL, RACHEL M (LSCSW, SEP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:MCDANIEL
Suffix:
Gender:
Credentials:LSCSW, SEP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:M
Other - Last Name:SWENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:200 N BROADWAY AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67202-2324
Mailing Address - Country:US
Mailing Address - Phone:316-302-4842
Mailing Address - Fax:201-537-4939
Practice Address - Street 1:200 N BROADWAY AVE STE 110
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-2324
Practice Address - Country:US
Practice Address - Phone:316-302-4842
Practice Address - Fax:201-537-4939
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-17
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS062111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical