Provider Demographics
NPI:1588685994
Name:CRANDALL, RACHEL K (MSW LMSW ACSW)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:K
Last Name:CRANDALL
Suffix:
Gender:F
Credentials:MSW LMSW ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29097 YORKSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-3720
Mailing Address - Country:US
Mailing Address - Phone:517-420-1544
Mailing Address - Fax:
Practice Address - Street 1:29097 YORKSHIRE LN
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-3720
Practice Address - Country:US
Practice Address - Phone:517-420-1544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010340331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical