Healthcare Provider Details

I. General information

NPI: 1396483319
Provider Name (Legal Business Name): RACHEL KILGORE LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS RACHEL COLSTAD

II. Dates (important events)

Enumeration Date: 05/20/2022
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

467 LAFAYETTE RD
HAMPTON NH
03842-2272
US

IV. Provider business mailing address

29 CAROLAN AVE
HAMPTON NH
03842-1110
US

V. Phone/Fax

Practice location:
  • Phone: 978-267-7188
  • Fax:
Mailing address:
  • Phone:
  • 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: