Healthcare Provider Details

I. General information

NPI: 1134819642
Provider Name (Legal Business Name): RACHEL LIEWER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2023
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 N MILLER RD STE 133
SCOTTSDALE AZ
85251-3620
US

IV. Provider business mailing address

4300 N MILLER RD
SCOTTSDALE AZ
85251-3619
US

V. Phone/Fax

Practice location:
  • Phone: 602-341-5664
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number20360
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: