Healthcare Provider Details

I. General information

NPI: 1073328159
Provider Name (Legal Business Name): RACHEL HONOROFF LCSW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2025
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

452 CLASSON AVE
BROOKLYN NY
11238-2553
US

IV. Provider business mailing address

452 CLASSON AVE APT 3
BROOKLYN NY
11238-2553
US

V. Phone/Fax

Practice location:
  • Phone: 917-426-4257
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RACHEL HONOROFF
Title or Position: DIRECTOR
Credential: LCSW
Phone: 917-426-4257