Rachel Adler, LMSW – Social Worker

Key facts

NPI: 1164039194
Entity type: Individual (NPI type 1)
Primary specialty: Social Worker 104100000X
License: 109988 (NY)
Practice address: 37 Friar Tuck Way
Saratoga Springs, NY 12866
Phone: (518) 238-6028
Fax: (518) 348-1279
NPI assigned: Sep 24, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Rachel Adler, Licsw, PLLC Mental Health Clinic/Center (Including Community Mental Health Center) · Dedham, MA · NPI 1649963711

NPD Authorized official
Professional Medical Concierge Services, PLLC Family Medicine Physician · Saratoga Springs, NY · NPI 1841812310

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
109988	NY	MD	Social Worker

Practice roles

Organization	Specialty	Status	New patients
Rachel Adler, Licsw, PLLC		Current	Accepting new patients
Professional Medical Concierge Services, PLLC		Current since Sep 27, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker	104100000X	109988	NY	Yes

Addresses

Primary practice location

37 Friar Tuck Way
Saratoga Springs, NY 12866

Mailing address

258 Hoosick St Ste 203
Troy, NY 12180-2450
Phone (518) 238-6028

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 24, 2020.

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1164039194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 HOOSICK ST STE 203",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802450",
            "telephone_number": "518-238-6028",
            "fax_number": "518-348-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 FRIAR TUCK WAY",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-238-6028",
            "fax_number": "518-348-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "RACHEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

All providers in Saratoga Springs, NY · Social Worker in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.