Individual provider Active NPI

Rachel Russo Strunk, LISW-S, LICDC

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1063886273
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.1801112-SUPV Issued in OH
Practice address
1118 Pendleton St
Suite #440
Cincinnati, OH 45202-7411
Phone
(513) 356-9446
Fax
(513) 206-9681
NPI assigned
Nov 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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 I.1801112-SUPV OH Primary
Social Worker 104100000X S.1510116-TRNE OH

Addresses

Primary practice location

1118 Pendleton St
Suite #440
Cincinnati, OH 45202-7411

Mailing address

1118 Pendleton St
Suite #440
Cincinnati, OH 45202-7411
Phone (513) 356-9446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20251119000874 OH Practitioner - Clinical Social Worker 7416446406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 Oxford Circle CT
Hamilton, OH 45013-1146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1801112-SUPVOHMDSocial Worker
S.1510116-TRNEOHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Collective Insight LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

1118 Pendleton St
Ste 440
Cincinnati, OH 45202
Phone (513) 494-8191

1118 Pendleton St
Ste 400
Cincinnati, OH 45202
Phone (513) 309-6481

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": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1063886273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 PENDLETON ST",
            "address_2": "SUITE #440",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452027411",
            "telephone_number": "513-356-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 PENDLETON ST",
            "address_2": "SUITE #440",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452027411",
            "telephone_number": "513-356-9446",
            "fax_number": "513-206-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUNK",
        "first_name": "RACHEL",
        "middle_name": "RUSSO",
        "name_prefix": "Mrs.",
        "credential": "LISW-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1801112-SUPV",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1510116-TRNE",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.