| Doctor Name: | MS. JENNIFER SPIVEY-RACHLIN |
| NPI Number: | 1164512554 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 1SW1049 |
| Business Practice Address: | 85 Beach St Bldg. B Upper Level Westerly, RI - 028912717 |
| Business Phone Number: | 4015066866 |
| Business Fax Number: | 4015960493 |
| Mailing Address: | 85 Beach St, Bldg. B Upper Level WESTERLY |
| State: | RI |
| Postal Code: | 028912717 |
| Phone Number: | 4015066866 |
| Fax Number: | 4015960493 |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1SW1049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |