Provider Demographics
NPI:1144514886
Name:PARKER-GAO, RACHEL CAROLINE
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:CAROLINE
Last Name:PARKER-GAO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:CAROLINE
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW-CP
Mailing Address - Street 1:18 CAPE FLATTERY CT
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-2914
Mailing Address - Country:US
Mailing Address - Phone:803-269-2826
Mailing Address - Fax:
Practice Address - Street 1:419 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-8092
Practice Address - Country:US
Practice Address - Phone:803-269-2826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-29
Last Update Date:2011-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC71731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical