Provider Demographics
NPI:1881176592
Name:DUSHENKO, RACHEL ELIZABETH (LCSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:DUSHENKO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ELIZABETH
Other - Last Name:SPENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:4717 FLOWER VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-1736
Mailing Address - Country:US
Mailing Address - Phone:703-300-2991
Mailing Address - Fax:844-444-0703
Practice Address - Street 1:4717 FLOWER VALLEY DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-1736
Practice Address - Country:US
Practice Address - Phone:703-300-2991
Practice Address - Fax:844-444-0703
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-30
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040106701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical