Healthcare Provider Details

I. General information

NPI: 1073980389
Provider Name (Legal Business Name): RACHEL SACCARELLI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2015
Last Update Date: 11/09/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

967 SWEDESFORD RD
EXTON PA
19341
US

IV. Provider business mailing address

125 E CHESTNUT ST
BECHTELSVILLE PA
19505-9776
US

V. Phone/Fax

Practice location:
  • Phone: 610-915-8067
  • Fax:
Mailing address:
  • Phone: 610-937-4577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW139365
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW026463
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License NumberMSG008366
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: