Active NPI
Rachel E Reynders, MSW, LCSW
- Social Worker
- Fitchburg, WI
National Provider Identifier
1114689254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 132450
- Practice address
- 2924 Marketplace Dr
Fitchburg, WI 53719-5332 - Phone
- (608) 886-9595
- NPI assigned
- Oct 6, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12854-123 | WI | |
| Social Worker | 104100000X | 132450 | WI | Primary |
Addresses
Primary practice location
2924 Marketplace Dr
Fitchburg, WI 53719-5332
Mailing address
2924 Marketplace Dr Ste 101
Fitchburg, WI 53719-5334
Other names 1
- Rachel E Penna
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 |
|---|---|---|---|
| 132450 | WI | MD | Social Worker |
| 12854-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1114689254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2924 MARKETPLACE DR STE 101",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537195334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2924 MARKETPLACE DR",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537195332",
"telephone_number": "608-886-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNDERS",
"first_name": "RACHEL",
"middle_name": "E",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-06",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "12854-123",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "132450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "PENNA",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.