NPI Code Details Logo

NPI 1063173672

NPI 1063173672 : RACHEL P WURZMAN PHD, LCSW-A : ASHEVILLE, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063173672
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    RACHEL P WURZMAN PHD, LCSW-A
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/05/2022
-----------------------------------------------------
    Last Update Date     |    03/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2129 WILSON RD 
-----------------------------------------------------
    City                 |    ASHEVILLE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28806-9625
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    828-619-0109
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    708 RICHMOND ST 
-----------------------------------------------------
    City                 |    BRUNSWICK
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31520-8015
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-512-3310
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    P017073
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.