Healthcare Provider Details

I. General information

NPI: 1952049728
Provider Name (Legal Business Name): RACHEL HOMITZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2022
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 MAIN ST
EYNON PA
18403-1310
US

IV. Provider business mailing address

419 GARFIELD AVE
JERMYN PA
18433-1624
US

V. Phone/Fax

Practice location:
  • Phone: 570-397-0899
  • Fax:
Mailing address:
  • Phone: 570-780-4949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW027738
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: