MEDICARE: RAECHEL PIERCE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1598539603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAECHEL PIERCE LCSW

Provider Business Mailing Address
First Line	:	4609 N WOLCOTT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-4303
Country	:	US
Telephone Number	:	773-231-6129
Fax Number	:

Provider Business Practice Location Address
First Line	:	4609 N WOLCOTT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-4303
Country	:	US
Telephone Number	:	312-667-3884
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2023
Last Update Date	:	01/12/2026

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Directions to “ RAECHEL PIERCE LCSW” Practice Location

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