MEDICARE: RACHEL SZCZEPINSKI

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	101YP2500X	Professional Counselor	2203072	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C.1901835-TRNE	OTHER	OH	COUNSELOR, SOCIAL WORKER AND MARRIAGE & FAMILY THERAPIST BOARD
2	E.2203072	OTHER	OH	COUNSELOR, SOCIAL WORKER AND MARRIAGE & FAMILY THERAPIST BOARD

General Provider Information

NPI Number	:	1780161802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL SZCZEPINSKI

Provider Business Mailing Address
First Line	:	3391 ORCHESTRA ST
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-3556
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3681 GREEN RD UNIT 1
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5726
Country	:	US
Telephone Number	:	216-342-5484
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2018
Last Update Date	:	01/02/2024

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Directions to “ RACHEL SZCZEPINSKI ” Practice Location

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