Healthcare Provider Details

I. General information

NPI: 1821705518
Provider Name (Legal Business Name): RACHEL JANE GALLAGHER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL JANE COLE

II. Dates (important events)

Enumeration Date: 11/01/2022
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 GLEN ST STE 603
GLENS FALLS NY
12801-3666
US

IV. Provider business mailing address

333 GLEN ST STE 603
GLENS FALLS NY
12801-3666
US

V. Phone/Fax

Practice location:
  • Phone: 518-926-7100
  • Fax:
Mailing address:
  • Phone: 518-925-5574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number117603
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: