Provider Demographics
NPI:1861937922
Name:SMITH, RACHEL BUTTS (LCSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:BUTTS
Last Name:SMITH
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 1:932 MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:KING
Mailing Address - State:NC
Mailing Address - Zip Code:27021-8249
Mailing Address - Country:US
Mailing Address - Phone:336-972-0033
Mailing Address - Fax:
Practice Address - Street 1:932 MEADOWBROOK DR
Practice Address - Street 2:
Practice Address - City:KING
Practice Address - State:NC
Practice Address - Zip Code:27021-8249
Practice Address - Country:US
Practice Address - Phone:336-972-6333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-28
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0111711041C0700X
NCC0119971041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical