Provider Demographics
NPI:1952919292
Name:KRAUSMAN, RACHEL L (MSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:L
Last Name:KRAUSMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 E INDIAN SCHOOL RD.
Mailing Address - Street 2:SOCIAL WORK - HUD/VASH
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012
Mailing Address - Country:US
Mailing Address - Phone:602-394-0242
Mailing Address - Fax:
Practice Address - Street 1:650 E INDIAN SCHOOL RD.
Practice Address - Street 2:SOCIAL WORK - HUD/VASH
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012
Practice Address - Country:US
Practice Address - Phone:602-394-0242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-19291104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZLMSW-19291OtherSTATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS