Provider Demographics
NPI:1841968286
Name:MAJOR, RAKESIA (SOCIAL WORKER)
Entity type:Individual
Prefix:
First Name:RAKESIA
Middle Name:
Last Name:MAJOR
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:MRS
Other - First Name:RAKESIA
Other - Middle Name:
Other - Last Name:MAJOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:5598 JOYCE ANN DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-2947
Mailing Address - Country:US
Mailing Address - Phone:937-238-2747
Mailing Address - Fax:
Practice Address - Street 1:5598 JOYCE ANN DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-2947
Practice Address - Country:US
Practice Address - Phone:937-238-2747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW029471041C0700X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty