Provider Demographics
NPI:1518247360
Name:GRIFFIN, RACHAEL (LMHP, LCSW)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LMHP, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4940 S 114TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-2377
Mailing Address - Country:US
Mailing Address - Phone:712-304-0832
Mailing Address - Fax:402-819-0932
Practice Address - Street 1:4940 S 114TH ST STE 2
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-2377
Practice Address - Country:US
Practice Address - Phone:402-431-2835
Practice Address - Fax:531-200-0374
Is Sole Proprietor?:No
Enumeration Date:2011-08-25
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE17871041C0700X
NE5207101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical