Provider Demographics
NPI:1679605653
Name:STEIN, RACHEL (LICSW)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:STEIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 PARKER ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-4033
Mailing Address - Country:US
Mailing Address - Phone:978-225-2250
Mailing Address - Fax:978-225-2251
Practice Address - Street 1:40 MAIN ST
Practice Address - Street 2:SUITE 206
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1492
Practice Address - Country:US
Practice Address - Phone:413-626-4707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA117618101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health