Provider Demographics
NPI:1952556250
Name:PHILLIPS-ANDERSON, RACHEL T (LCSW-C)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:T
Last Name:PHILLIPS-ANDERSON
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9129 ETON RD.
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4901
Mailing Address - Country:US
Mailing Address - Phone:202-306-0555
Mailing Address - Fax:732-292-0399
Practice Address - Street 1:962 WAYNE AVE.
Practice Address - Street 2:SUITE 920
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4480
Practice Address - Country:US
Practice Address - Phone:202-306-0555
Practice Address - Fax:732-292-0399
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053545001041C0700X
MD222111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical