Provider Demographics
NPI:1184277584
Name:ADELEKAN, RACHEAL A (LCSW)
Entity type:Individual
Prefix:MRS
First Name:RACHEAL
Middle Name:A
Last Name:ADELEKAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RACHEAL
Other - Middle Name:A
Other - Last Name:MUSTAPHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1755 SULLIVAN LN
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-2815
Mailing Address - Country:US
Mailing Address - Phone:775-499-5534
Mailing Address - Fax:775-455-4259
Practice Address - Street 1:1755 SULLIVAN LN
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-2815
Practice Address - Country:US
Practice Address - Phone:775-499-5534
Practice Address - Fax:775-455-4259
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical