Active NPI
Rachel Lynne Woodard, LSW
- Social Worker
- Massillon, OH
National Provider Identifier
1093208902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S1502472
- Practice address
- 619 Tremont Ave SW
Massillon, OH 44647-6468 - Phone
- (330) 837-3555
- Fax
- (330) 837-0513
- NPI assigned
- Jun 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S1502472 | OH | Primary |
Addresses
Primary practice location
619 Tremont Ave SW
Massillon, OH 44647-6468
Mailing address
619 Tremont Ave SW
Massillon, OH 44647-6468
Phone (330) 837-3555
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
| License | State | Type | Specialty |
|---|---|---|---|
| S1502472 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Twelve of Ohio, Inc. | Past | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Massillon, OH
- NPI 1598083966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1093208902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 TREMONT AVE SW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446476468",
"telephone_number": "330-837-3555",
"fax_number": "330-837-0513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 TREMONT AVE SW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446476468",
"telephone_number": "330-837-3555",
"fax_number": "330-837-0513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "RACHEL",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-14",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S1502472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.