Individual provider · Type 1 NPI
Taylor Rae, P-LCSW
Clinical Social Worker · Donnelly, ID
Practice location
PO Box 1192
Donnelly, ID 83615-1100
Fax (253) 968-1151
Mailing address
9040 Fitzsimmons Dr
Joint Base Lewis Mcchord, WA 98431-1100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | P-006670 (NC) |
| Clinical Social Worker Primary | 1041C0700X | LCSW36537 (ID) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
About NPI 1639457559
Taylor Rae, P-LCSW's National Provider Identifier is 1639457559, issued on Jul 26, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Donnelly, ID. The record was last updated on Feb 4, 2025.