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NPI Code Detail

MEDICARE: RACHEL LYNN MANES LCSW

MEDICARE: RACHEL LYNN MANES LCSW
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 Worker090192NY

General Provider Information

NPI Number : 1548770167
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL LYNN MANES LCSW
Provider Business Mailing Address
First Line : 7701 13TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-2413
Country : US
Telephone Number : 917-602-6201
Fax Number :
Provider Business Practice Location Address
First Line : 26 COURT ST STE 1416
Second Line :
City : BROOKLYN
State : NY
Zip : 11242-1114
Country : US
Telephone Number : 917-602-6201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2017
Last Update Date : 03/22/2021

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Directions to “ RACHEL LYNN MANES LCSW” Practice Location

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