Healthcare Provider Details

I. General information

NPI: 1285511154
Provider Name (Legal Business Name): RACHEL PERRY LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL PERRY RACHEL PERRY

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 US HIGHWAY 13 N
WINDSOR NC
27983-8029
US

IV. Provider business mailing address

115 CARLYLE ASKEW LN
AHOSKIE NC
27910-9777
US

V. Phone/Fax

Practice location:
  • Phone: 252-794-6000
  • Fax:
Mailing address:
  • Phone: 252-642-3666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP022840
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: