Provider Demographics
NPI:1952740086
Name:VANHARKEN, RACHEL BAER (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:BAER
Last Name:VANHARKEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:BROOKS
Other - Last Name:BAER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:1068 HURON PEAK AVE
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-6148
Mailing Address - Country:US
Mailing Address - Phone:314-276-7465
Mailing Address - Fax:
Practice Address - Street 1:6069 PROSPECT RD
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-9047
Practice Address - Country:US
Practice Address - Phone:314-276-7465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013018627104100000X
COCSW.099246351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker