Provider Demographics
NPI:1447505573
Name:LITTLE, RACHEL LARA (LCSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LARA
Last Name:LITTLE
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6402 TOLLGATE RD
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18092-2162
Mailing Address - Country:US
Mailing Address - Phone:484-951-4213
Mailing Address - Fax:
Practice Address - Street 1:6402 TOLLGATE RD
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18092-2162
Practice Address - Country:US
Practice Address - Phone:484-951-4213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-15
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1298661041C0700X
PACW018654101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical