Healthcare Provider Details

I. General information

NPI: 1437242351
Provider Name (Legal Business Name): RACHEL SAWYER L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 03/24/2023
Certification Date: 03/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1644 FORT WASHINGTON AVE
MAPLE GLEN PA
19002-3038
US

IV. Provider business mailing address

1644 FORT WASHINGTON AVE
MAPLE GLEN PA
19002-3038
US

V. Phone/Fax

Practice location:
  • Phone: 916-838-1122
  • Fax:
Mailing address:
  • Phone: 916-838-1122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149-003019
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number21703
License Number StateCA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier343301
Identifier TypeOTHER
Identifier StateCA
Identifier IssuerMHN PRACTITIONER ID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: