Individual provider Active NPI

Rachelle Mary Partridge

  • Clinical Social Worker
  • Bath, NY
National Provider Identifier
1003479767
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095099 Issued in NY
Practice address
209 Liberty Street
Bath, NY 14810-1124
Phone
(607) 936-1771
NPI assigned
Apr 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 094851 NY
Clinical Social Worker 1041C0700X 095099 NY Primary

Addresses

Primary practice location

209 Liberty Street
Bath, NY 14810-1124

Mailing address

33 Denison Parkway West
Corning, NY 14830-2613
Phone (607) 937-4560

Other practice location 1

115 Liberty St
Bath, NY 14810
Phone (607) 664-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
094851NYMDSocial Worker
095099NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways, Inc. Social Worker CurrentSince Mar 31, 2024 Accepting new patients

Locations

209 Liberty St
Bath, NY 14810
Phone (607) 776-7656

33 Denison Pkwy W
Corning, NY 14830
Phone (607) 937-3200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1003479767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DENISON PARKWAY WEST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302613",
            "telephone_number": "607-937-4560",
            "fax_number": "607-937-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 LIBERTY STREET",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101124",
            "telephone_number": "607-936-1771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Bath",
            "state": "NY",
            "postal_code": "14810",
            "country_code": "US",
            "telephone_number": "607-664-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARTRIDGE",
        "first_name": "RACHELLE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094851",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.