Healthcare Provider Details

I. General information

NPI: 1265629018
Provider Name (Legal Business Name): RACHEL D TRUDELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 COUNTY ROAD 2
ALMOND NY
14804-9794
US

IV. Provider business mailing address

PO BOX 154
ALMOND NY
14804-0154
US

V. Phone/Fax

Practice location:
  • Phone: 607-661-0492
  • Fax:
Mailing address:
  • Phone: 607-661-0492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number082790
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: