National Provider Identifier
Rachel Jividen, LMSW
Rachel Jividen, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (607) 733-5696.
Profile Overview
- NPI
- 1053700211
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 12, 2015
- Last Updated
- November 18, 2015
Practice Location
- 1019 E Water St
- Elmira, NY 14901-3332
Phone: (607) 733-5696
Specialties
- Clinical Social Worker (1041C0700X)
- Counselor (101Y00000X)
Full Record
- NPI
- 1053700211
- Entity Type
- Individual
- Last Name
- Jividen
- First Name
- Rachel
- Credential
- LMSW
- Mailing Street Address
- 1019 E Water St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3332
- Mailing Country
- US
- Practice Street Address
- 1019 E Water St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3332
- Practice Country
- US
- Practice Phone
- (607) 733-5696
- Enumeration Date
- January 12, 2015
- Last Updated
- November 18, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Counselor (101Y00000X)