Healthcare Provider Details

I. General information

NPI: 1376222372
Provider Name (Legal Business Name): RACHEL SCHWARTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6151 TRAILS END CT
SALISBURY MD
21801-2274
US

IV. Provider business mailing address

6151 TRAILS END CT
SALISBURY MD
21801-2274
US

V. Phone/Fax

Practice location:
  • Phone: 443-802-1863
  • Fax:
Mailing address:
  • Phone: 443-802-1863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number30269
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number30269
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: