Healthcare Provider Details

I. General information

NPI: 1295063261
Provider Name (Legal Business Name): RACHEL HULSTEIN-LOWE LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2009
Last Update Date: 12/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 SAINT PAUL ST UNIT 4
BROOKLINE MA
02446-5125
US

IV. Provider business mailing address

96 SAINT PAUL ST UNIT 4
BROOKLINE MA
02446-5125
US

V. Phone/Fax

Practice location:
  • Phone: 617-230-2784
  • Fax:
Mailing address:
  • Phone: 617-230-2784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number115203
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: