Basic Information
| Provider Information | |||||||||
| NPI: | 1669703294 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BAUKS | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | |||||||||
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| Credential: | CSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 721 E LINCOLNWAY | ||||||||
| Address2: | |||||||||
| City: | CHEYENNE | ||||||||
| State: | WY | ||||||||
| PostalCode: | 820014703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3074215928 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 721 E LINCOLNWAY | ||||||||
| Address2: | |||||||||
| City: | CHEYENNE | ||||||||
| State: | WY | ||||||||
| PostalCode: | 820014703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3072566467 | ||||||||
| FaxNumber: | 3076376852 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/21/2010 | ||||||||
| LastUpdateDate: | 07/07/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 190 | WY | N | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | PCSW-912 | WY | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.