Courtney Plank Rault, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

092028 Issued in NY

Practice address

209 Bedford Banksville Rd
Bedford, NY 10506-1918

Phone

(617) 697-9471

NPI assigned

May 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Courtney Plank LCSW PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bedford, NY
  • NPI 1912602210
  NPD Authorized official

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1124641360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BEDFORD BANKSVILLE RD",
            "city": "BEDFORD",
            "state": "NY",
            "postal_code": "105061918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BEDFORD BANKSVILLE RD",
            "city": "BEDFORD",
            "state": "NY",
            "postal_code": "105061918",
            "telephone_number": "617-697-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAULT",
        "first_name": "COURTNEY",
        "middle_name": "PLANK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "011885",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "103814",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakota Marie Molinari
• Montefiore Medical Center
• National Home Care, Inc.
• Abhishek Vinodbhai Patel, PT
• Brenda Pomarantz Stern, BRENDA STERN, LCSW
• Barry Sterling Reed, M.D.
• Ernest Roebuck, CCC-SLP
• Jeffrey S Rubinstein, DDS
• Amanda Salera
• Deena Scherer, CSW

• Clinical Social Worker in Bedford, NY
• Providers in Bedford, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.