Healthcare Provider Details

I. General information

NPI: 1427935915
Provider Name (Legal Business Name): RACHEL ANN LIENART ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL ANN HADDON ASW

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 6TH AVE STE 150
SAN DIEGO CA
92101-4370
US

IV. Provider business mailing address

1250 6TH AVE STE 150
SAN DIEGO CA
92101-4370
US

V. Phone/Fax

Practice location:
  • Phone: 619-810-8600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number119660
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: