Healthcare Provider Details

I. General information

NPI: 1376152272
Provider Name (Legal Business Name): RACHEL MARIE NEASE MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2020
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 LEETSDALE DR STE 220
DENVER CO
80246-1451
US

IV. Provider business mailing address

5250 LEETSDALE DR STE 220
DENVER CO
80246-1451
US

V. Phone/Fax

Practice location:
  • Phone: 303-629-5293
  • Fax:
Mailing address:
  • Phone: 303-629-5293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberNLC.0111187
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: