Rae Rich, LCSW, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149002472 Issued in IL

Legal business name

RAE RICH, LCSW, PC

Practice address

1509 W Berwyn Ave
Suite 209
Chicago, IL 60640-8056

Phone

(847) 687-3085

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Rae Rich, LCSW

Title

President

Phone

(847) 687-3085

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1124154661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 W BERWYN AVE",
            "address_2": "SUITE 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408056",
            "telephone_number": "847-687-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W BERWYN AVE",
            "address_2": "SUITE 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408056",
            "telephone_number": "847-687-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAE RICH, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "RAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-687-3085",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149002472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1623160",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1982641627",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bartlomiej Lukasz Radzik, MD
• Alexandra Radzin
• Agnieszka Joanna Radziszewska, MD
• Margaret Radziszewski, DDS
• Brittany Radziwon, LCSW
• Aiyana Rae
• Bronwyn R Rae, MD
• Rebekah Raeburn, LCSW
• Ashley Raedy
• Christian Dean Raether, MA, LPC

• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.