Healthcare Provider Details

I. General information

NPI: 1740517929
Provider Name (Legal Business Name): RACHEL A MAASS-O'HAVER MSW,LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL A MAASS MSW

II. Dates (important events)

Enumeration Date: 11/10/2009
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 N MARR RD
COLUMBUS IN
47201-6660
US

IV. Provider business mailing address

922 TANAGER DR
COLUMBUS IN
47203-1926
US

V. Phone/Fax

Practice location:
  • Phone: 812-314-3400
  • Fax: 812-376-4875
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34007469A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: