Provider Demographics
NPI:1174994180
Name:BYRNES, RACHEL JANE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:JANE
Last Name:BYRNES
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:JANE
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1081 LONG POND RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-5002
Mailing Address - Country:US
Mailing Address - Phone:585-515-0161
Mailing Address - Fax:585-206-4846
Practice Address - Street 1:90 ERIE CANAL DR STE A
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-4610
Practice Address - Country:US
Practice Address - Phone:585-515-0161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-16
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0980781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical