Provider Demographics
NPI:1871089391
Name:DEMPSEY, RACHEL TRESSA (LCSW)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:TRESSA
Last Name:DEMPSEY
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 1:5013 20TH ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33714-3314
Mailing Address - Country:US
Mailing Address - Phone:602-538-6774
Mailing Address - Fax:
Practice Address - Street 1:BAY PINES VA MEDICAL CENTER
Practice Address - Street 2:10000 BAY PINES BLVD
Practice Address - City:BAY PINES
Practice Address - State:FL
Practice Address - Zip Code:33744-3374
Practice Address - Country:US
Practice Address - Phone:727-269-4598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL151291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical