Provider Demographics
NPI:1609468800
Name:GIVEN, RACHEL LANDESMAN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LANDESMAN
Last Name:GIVEN
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 1:7721 STONE HARBOUR DR APT 4
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7925
Mailing Address - Country:US
Mailing Address - Phone:561-900-4880
Mailing Address - Fax:
Practice Address - Street 1:7721 STONE HARBOUR DR APT 4
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-7925
Practice Address - Country:US
Practice Address - Phone:561-900-4880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-09
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
FL237871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor