Provider Demographics
NPI:1689754947
Name:LAUTURE, RACHEL (LCSW)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:LAUTURE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:GABRIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:18 PAVILION RIDGE WAY UNIT 10
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4664
Mailing Address - Country:US
Mailing Address - Phone:845-641-0327
Mailing Address - Fax:
Practice Address - Street 1:13A DICKINSON AVE
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-2914
Practice Address - Country:US
Practice Address - Phone:845-770-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073164104100000X
NY0966991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker