Individual provider Active NPI

Rachel Elizabeth De Amicis, MSW, LCSW, LICSW

  • Clinical Social Worker
  • St Johnsbury, VT
National Provider Identifier
1124970371
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0136925 Issued in VT
Practice address
2225 Portland St
Saint Johnsbury, VT 05819-8635
Phone
(802) 748-3181
Fax
(802) 748-0704
NPI assigned
Feb 11, 2026
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110113 TX
Clinical Social Worker 1041C0700X 089.0136925 VT Primary

Addresses

Primary practice location

2225 Portland St
Saint Johnsbury, VT 05819-8635

Mailing address

47 Wright Ave Apt 4
Saint Johnsbury, VT 05819-2776
Phone (802) 748-3181

Other practice location 1

181 Crawford Rd
Newport, VT 05855-6405
Phone (802) 334-6744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260324001063 VT Practitioner - Clinical Social Worker 4284118605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Kingdom Human Services IncGroup PAC ID 0941276703, 17 clinicians

Practice addresses (Care Compare)

181 Crawford Rd
Derby, VT 05829
Phone (802) 334-6744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110113TXMDClinical Social Worker
089.0136925VTMDClinical Social Worker

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1124970371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WRIGHT AVE APT 4",
            "city": "SAINT JOHNSBURY",
            "state": "VT",
            "postal_code": "058192776",
            "telephone_number": "802-748-3181",
            "fax_number": "802-748-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PORTLAND ST",
            "city": "SAINT JOHNSBURY",
            "state": "VT",
            "postal_code": "058198635",
            "telephone_number": "802-748-3181",
            "fax_number": "802-748-0704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Crawford Rd",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "VT",
            "postal_code": "058556405",
            "country_code": "US",
            "telephone_number": "802-334-6744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE AMICIS",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "110113",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0136925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

Verify at the official NPI Registry.