Individual provider Active NPI

Rachel D Wheeler, LCSW

  • Clinical Social Worker
  • Warsaw, KY
National Provider Identifier
1043582745
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006417A Issued in IN
Practice address
203 W Main St
Warsaw, KY 41095-9303
Phone
(859) 578-3200
NPI assigned
Jan 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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 34006417A IN Primary

Addresses

Primary practice location

203 W Main St
Warsaw, KY 41095-9303

Mailing address

205 W Main St
Vevay, IN 47043-1178
Phone (812) 427-2737

Other practice location 1

205 W Main St
Vevay, IN 47043-1178
Phone (812) 427-2737

Other names 1

  • Rachel Carroll Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • 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
I20120515000456 IN Practitioner - Clinical Social Worker 6901069749 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006417AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Center Inc CurrentSince Jun 30, 2024 Accepting new patients
Centerstone of Indiana, Inc. Past Accepting new patients

Locations

285 Bielby Rd
Lawrenceburg, IN 47025
Phone (812) 537-1302

401 W Eads Pkwy
Ste 420
Lawrenceburg, IN 47025
Phone (812) 537-7375

401 W Eads Pkwy
Ste 450
Lawrenceburg, IN 47025
Phone (574) 248-1706

401 W Eads Pkwy
Lawrenceburg, IN 47025
Phone (513) 846-2482

205 W Main St
Vevay, IN 47043
Phone (812) 427-2737

Organizations & group practices 2

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": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1043582745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W MAIN ST",
            "city": "VEVAY",
            "state": "IN",
            "postal_code": "470431178",
            "telephone_number": "812-427-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST",
            "city": "WARSAW",
            "state": "KY",
            "postal_code": "410959303",
            "telephone_number": "859-578-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 W Main St",
            "address_purpose": "LOCATION",
            "city": "Vevay",
            "state": "IN",
            "postal_code": "470431178",
            "country_code": "US",
            "telephone_number": "812-427-2737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "RACHEL",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006417A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "CARROLL",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warsaw, KY

Sources for this page

Verify at the official NPI Registry.