Healthcare Provider Details

I. General information

NPI: 1326689530
Provider Name (Legal Business Name): RACHEL ANNE NAUMAN LISW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2019
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3343 CENTER GROVE DR STE IB
DUBUQUE IA
52003-5292
US

IV. Provider business mailing address

3343 CENTER GROVE DR STE IB
DUBUQUE IA
52003-5292
US

V. Phone/Fax

Practice location:
  • Phone: 563-275-6348
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number101611
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number101611
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: