Provider Demographics
NPI:1841900404
Name:WASHINGTON, RACHEL LYNN (LSW, LCADC)
Entity type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:LYNN
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:LSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9075 STATE ROAD 64
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47122-8976
Mailing Address - Country:US
Mailing Address - Phone:502-416-5918
Mailing Address - Fax:
Practice Address - Street 1:1345 CORYDON RAMSEY RD NW STE 101
Practice Address - Street 2:
Practice Address - City:CORYDON
Practice Address - State:IN
Practice Address - Zip Code:47112-2270
Practice Address - Country:US
Practice Address - Phone:812-269-8577
Practice Address - Fax:812-558-0360
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY290161101YA0400X
IN99124081A104100000X
IN87001766A101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker