Provider Demographics
NPI:1770455529
Name:HARTONG, RACHEL (LCSW, LBA)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HARTONG
Suffix:
Gender:F
Credentials:LCSW, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 KENSETT LN
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-2439
Mailing Address - Country:US
Mailing Address - Phone:475-328-2267
Mailing Address - Fax:
Practice Address - Street 1:76 ELM ST STE 210
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-5423
Practice Address - Country:US
Practice Address - Phone:475-328-2267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT136971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical