Provider Demographics
NPI:1841512829
Name:MCKINNON, RACHAEL MARY (LMSW)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:MARY
Last Name:MCKINNON
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:MARY
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:PO BOX 396
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MI
Mailing Address - Zip Code:48611-0396
Mailing Address - Country:US
Mailing Address - Phone:899-750-1557
Mailing Address - Fax:
Practice Address - Street 1:110 S AUBURN RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MI
Practice Address - Zip Code:48611-9366
Practice Address - Country:US
Practice Address - Phone:989-750-1557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010915741041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical