MEDICARE: RACHELLE KROHN LCSW 13396202-3501

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	101Y00000X	Counselor	13396202-3501	UT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000055266	OTHER	UT	MEDICARE PIN
2	260022408	OTHER	UT	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821760364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHELLE KROHN LCSW 13396202-3501

Provider Business Mailing Address
First Line	:	2637 N WASHINGTON BLVD # 206
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84414-2240
Country	:	US
Telephone Number	:	385-244-0489
Fax Number	:

Provider Business Practice Location Address
First Line	:	2637 N WASHINGTON BLVD # 206
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84414-2240
Country	:	US
Telephone Number	:	385-244-0489
Fax Number	:

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

Provider Enumeration Date	:	10/04/2021
Last Update Date	:	10/14/2025

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