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NPI Code Detail

MEDICARE: RACHAEL E. MASSELL LCSW, LCSW-S

MEDICARE: RACHAEL E. MASSELL LCSW, LCSW-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC014808NC
21041C0700XClinical Social Worker56970TX

General Provider Information

NPI Number : 1528420908
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL E. MASSELL LCSW, LCSW-S
Provider Business Mailing Address
First Line : 1801 W KOENIG LN
Second Line :
City : AUSTIN
State : TX
Zip : 78756-1208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1801 W KOENIG LN
Second Line :
City : AUSTIN
State : TX
Zip : 78756-1208
Country : US
Telephone Number : 512-765-6923
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2016
Last Update Date : 10/06/2023

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