Healthcare Provider Details

I. General information

NPI: 1407528334
Provider Name (Legal Business Name): RACHAEL THALHEIMER MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 WOODLAND ST
HOLLISTON MA
01746-1826
US

IV. Provider business mailing address

126 MARILYN ST
HOLLISTON MA
01746-2036
US

V. Phone/Fax

Practice location:
  • Phone: 508-233-3324
  • Fax:
Mailing address:
  • Phone: 508-233-3324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: