Healthcare Provider Details

I. General information

NPI: 1033124433
Provider Name (Legal Business Name): RACHEL MCAREE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 08/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 GLEN COVE AVE LL5
GLEN HEAD NY
11545-1585
US

IV. Provider business mailing address

PO BOX 327
GLENWOOD LANDING NY
11547-0327
US

V. Phone/Fax

Practice location:
  • Phone: 516-220-8073
  • Fax:
Mailing address:
  • Phone: 516-220-8073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR051852-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: