Provider Demographics
NPI:1700128741
Name:WILLIAMS, RACHEL BRADLEY (MSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:BRADLEY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2159 30TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-1501
Mailing Address - Country:US
Mailing Address - Phone:202-398-3556
Mailing Address - Fax:202-540-9240
Practice Address - Street 1:1010 WISCONSIN AVE NW
Practice Address - Street 2:SUITE 515
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-3603
Practice Address - Country:US
Practice Address - Phone:202-670-1118
Practice Address - Fax:202-540-9240
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-16
Last Update Date:2013-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3035011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical