Healthcare Provider Details

I. General information

NPI: 1184071540
Provider Name (Legal Business Name): RACHEL PEIRCE MURRAY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2016
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 MARDI GRAS RD
CORONADO CA
92118-3518
US

IV. Provider business mailing address

34 MARDI GRAS RD
CORONADO CA
92118-3518
US

V. Phone/Fax

Practice location:
  • Phone: 404-274-0980
  • Fax:
Mailing address:
  • Phone: 404-274-0980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW13178
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number138292
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: