Provider Demographics
NPI:1730685066
Name:ENGHAUSER, RACHEL ANNE (LCSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANNE
Last Name:ENGHAUSER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45450 CONDUCTOR TER UNIT 300
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-6844
Mailing Address - Country:US
Mailing Address - Phone:703-581-3087
Mailing Address - Fax:
Practice Address - Street 1:102 HERITAGE WAY NE STE 302
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-4544
Practice Address - Country:US
Practice Address - Phone:703-581-3087
Practice Address - Fax:703-777-0170
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical