Healthcare Provider Details

I. General information

NPI: 1619340536
Provider Name (Legal Business Name): RACHEL CHAMBERS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2015
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST
DENVER CO
80204-4597
US

IV. Provider business mailing address

777 BANNOCK ST
DENVER CO
80204-4597
US

V. Phone/Fax

Practice location:
  • Phone: 844-493-8255
  • Fax: 303-602-4560
Mailing address:
  • Phone: 844-493-8255
  • Fax: 303-602-4560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09924148
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: