Individual provider Active NPI

Rachel Susan Machacek, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1053983643
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013057 Issued in VA
Practice address
2405 W Main St Ste 11
Richmond, VA 23220-4448
Phone
(804) 930-8380
Fax
(804) 963-8390
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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 0904013057 VA Primary

Addresses

Primary practice location

2405 W Main St Ste 11
Richmond, VA 23220-4448

Mailing address

3224 Fendall Ave
Richmond, VA 23222-2612
Phone (804) 930-8380

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
0904013057VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1053983643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 FENDALL AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232222612",
            "telephone_number": "804-930-8380",
            "fax_number": "804-963-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 W MAIN ST STE 11",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204448",
            "telephone_number": "804-930-8380",
            "fax_number": "804-963-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHACEK",
        "first_name": "RACHEL",
        "middle_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.