Healthcare Provider Details

I. General information

NPI: 1013821586
Provider Name (Legal Business Name): RACHEL WOOTTEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8403 COLESVILLE RD STE 1100
SILVER SPRING MD
20910-6346
US

IV. Provider business mailing address

8403 COLESVILLE RD STE 1100
SILVER SPRING MD
20910-6346
US

V. Phone/Fax

Practice location:
  • Phone: 301-893-4733
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number29193
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: