Provider Demographics
NPI:1619790433
Name:LANTER, RACHAEL HUDSON (LCSW)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:HUDSON
Last Name:LANTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 MCCLURE RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-9785
Mailing Address - Country:US
Mailing Address - Phone:606-622-0292
Mailing Address - Fax:
Practice Address - Street 1:690 MCCLURE RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391-9785
Practice Address - Country:US
Practice Address - Phone:606-622-0292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2583731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical