Provider Demographics
NPI:1285511154
Name:PERRY, RACHEL (LCSWA)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RACHEL PERRY
Mailing Address - Street 1:115 CARLYLE ASKEW LN
Mailing Address - Street 2:
Mailing Address - City:AHOSKIE
Mailing Address - State:NC
Mailing Address - Zip Code:27910-9777
Mailing Address - Country:US
Mailing Address - Phone:252-642-3666
Mailing Address - Fax:
Practice Address - Street 1:715 US HIGHWAY 13 N
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:NC
Practice Address - Zip Code:27983-8029
Practice Address - Country:US
Practice Address - Phone:252-794-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0228401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty