Basic Information
| Provider Information | |||||||||
| NPI: | 1629494901 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANDERSON | ||||||||
| FirstName: | RACHAEL | ||||||||
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| Credential: | MSW, LSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13001 E 17TH PL FL 2 | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800452570 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037241000 | ||||||||
| FaxNumber: | 3037249472 | ||||||||
| Practice Location | |||||||||
| Address1: | 13001 E 17TH PL FL 2 | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800452570 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037241000 | ||||||||
| FaxNumber: | 3037249472 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/11/2014 | ||||||||
| LastUpdateDate: | 07/24/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | CSW.09923780 | CO | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | LSW0009920319 | CO | N | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.