Provider Demographics
NPI:1972494839
Name:SIMMONS, RACHAEL (LSW)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 PARK PLACE DR STE 108
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-2068
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1637 JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:PA
Practice Address - Zip Code:15344-4162
Practice Address - Country:US
Practice Address - Phone:724-710-7784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW124058104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker