Rackenberg, Lydia
Rackenberg, Lydia is an individual health care provider with primary practice located at 111 Infirmary Way 127 Hills North, Amherst MA 01003-9287. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Rackenberg, Lydia can be contacted via phone (413) 545-2337.Contact Information
Primary practice address
111 Infirmary Way 127 Hills North
Amherst MA 01003-9287
Phone: (413) 545-2337
Fax: (413) 577-5117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1017927 | Massachusetts |
Profile Details
| NPI number | 1205914553 |
|---|---|
| LBN Legal business name | Rackenberg, Lydia |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205914553 | NPPES |
| Other | 25017 | HEALTH NEW ENGLAND |
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