Individual provider Active NPI

Rachel Rome, LICSW, MED

  • Clinical Social Worker
  • Quincy, MA
National Provider Identifier
1033883806
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1140426 Issued in MA
Practice address
14 Bennington St
Quincy, MA 02169-7804
Phone
(973) 600-7075
NPI assigned
Aug 5, 2021
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1140426 MA Primary

Addresses

Primary practice location

14 Bennington St
Quincy, MA 02169-7804

Mailing address

14 Bennington St Apt 2
Quincy, MA 02169-7804
Phone (973) 600-7075

Other names 1

  • Ray Rome Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916000788 MA Practitioner - Clinical Social Worker 1951842160 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1140426MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifes a Journey Counseling LLC Clinical CurrentSince Jun 9, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1033883806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BENNINGTON ST APT 2",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697804",
            "telephone_number": "973-600-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BENNINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697804",
            "telephone_number": "973-600-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROME",
        "first_name": "RACHEL",
        "credential": "LICSW, MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1140426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAY",
            "last_name": "ROME",
            "credential": "LICSW, MED",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.