Healthcare Provider Details

I. General information

NPI: 1710875562
Provider Name (Legal Business Name): RACHEL SPEKMAN THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2025
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 VINSON ST
DORCHESTER CENTER MA
02124-1323
US

IV. Provider business mailing address

23 VINSON ST
DORCHESTER CENTER MA
02124-1323
US

V. Phone/Fax

Practice location:
  • Phone: 973-634-3517
  • Fax:
Mailing address:
  • Phone: 973-634-3517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: RACHEL SPEKMAN
Title or Position: FOUNDER
Credential: LICSW
Phone: 973-634-3517