Provider Demographics
NPI:1982962478
Name:CLAY-RICHMOND, RACHEL (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:CLAY-RICHMOND
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 EPWORTH PL
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3372
Mailing Address - Country:US
Mailing Address - Phone:919-698-7640
Mailing Address - Fax:919-794-8830
Practice Address - Street 1:3326 DURHAM CHAPEL HILL BLVD
Practice Address - Street 2:STE A130
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6239
Practice Address - Country:US
Practice Address - Phone:919-710-6940
Practice Address - Fax:919-794-8830
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0077221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical