Provider Demographics
NPI:1871549709
Name:DOBBIN, RACHELLE (LICSW)
Entity type:Individual
Prefix:
First Name:RACHELLE
Middle Name:
Last Name:DOBBIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 CONDOR RD
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-2949
Mailing Address - Country:US
Mailing Address - Phone:781-784-1152
Mailing Address - Fax:
Practice Address - Street 1:185 DEAN ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4552
Practice Address - Country:US
Practice Address - Phone:617-549-1891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10278431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA014870OtherPACIFICARE
MA761586OtherTUFTS HEALTH PLAN
MA400745OtherMAGELLAN
MAPO8477OtherBLUE CROSS BLUE SHIELD MA
MA400745OtherMAGELLAN