Rockville LCSW PC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

ROCKVILLE LCSW PC

Practice address

80 Lincoln Ave Unit 4
Rockville Centre, NY 11570-5778

Phone

(516) 557-3141

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Rachel Anne Wachs, LCSWNPI 1073680005

Title

President

Phone

(516) 557-3141

Specialties & licenses 2

Addresses

Other names 1

• Rockville LCSW services Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Anne Wachs, CSW

  • Social Worker
  • Rockville Centre, NY
  • NPI 1073680005
  NPD Authorized official

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1083328660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LINCOLN AVE UNIT 4",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705778",
            "telephone_number": "516-557-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LINCOLN AVE UNIT 4",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705778",
            "telephone_number": "516-557-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKVILLE LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "WACHS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-557-3141",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockville LCSW services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adolescent and Children Mental Health Clinic/Center in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Adolescent and Children Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.