Healthcare Provider Details

I. General information

NPI: 1538358353
Provider Name (Legal Business Name): RACHEL E GRIER-REYNOLDS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 10/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 FEDERAL ST MILTON ELEMENTARY SCHOOL
MILTON DE
19968-1106
US

IV. Provider business mailing address

5423 KILLENS POND RD
FELTON DE
19943-1901
US

V. Phone/Fax

Practice location:
  • Phone: 302-684-1780
  • Fax: 302-684-1839
Mailing address:
  • Phone: 302-284-3020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0000295
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: