Healthcare Provider Details

I. General information

NPI: 1063173672
Provider Name (Legal Business Name): RACHEL P WURZMAN PHD, LCSW-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2129 WILSON RD
ASHEVILLE NC
28806-9625
US

IV. Provider business mailing address

708 RICHMOND ST
BRUNSWICK GA
31520-8015
US

V. Phone/Fax

Practice location:
  • Phone: 828-619-0109
  • Fax:
Mailing address:
  • Phone: 301-512-3310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP017073
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: