=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811418254
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RACHEL LYNNE SCHLOSSER LCSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/06/2017
-----------------------------------------------------
Last Update Date | 10/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5798 BLUESTONE DR
-----------------------------------------------------
City | FAIRVIEW
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16415-2544
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-374-0665
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 155 WILLOWBROOK BLVD STE 110
-----------------------------------------------------
City | WAYNE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07470-7033
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-374-0665
-----------------------------------------------------
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 | 44SC05681800
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------