Individual provider Active NPI

Rachele Cutrer Lynn, LCSW

  • Clinical Social Worker
  • Amite, LA
National Provider Identifier
1164040606
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8467 Issued in LA
Practice address
63035 Commercial St
70451
Amite, LA 70456
Phone
(985) 748-8411
Fax
(866) 391-3991
NPI assigned
Jul 10, 2020
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

727 W Oak St
Amite, LA 70422-2734
Phone (985) 748-8411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20210512000013 LA Practitioner - Clinical Social Worker 4385053966 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8467LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rho Mental Health,LLC CurrentSince Feb 9, 2021 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8467 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

63035 Commercial St
70451
Amite, LA 70456

Mailing address

PO Box 1475
Amite, LA 70422-1475
Phone (985) 474-6671

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2021.

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1164040606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704221475",
            "telephone_number": "985-474-6671",
            "fax_number": "866-931-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63035 COMMERCIAL ST",
            "address_2": "70451",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "70456",
            "telephone_number": "985-748-8411",
            "fax_number": "866-391-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "RACHELE",
        "middle_name": "CUTRER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "8467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amite, LA

Sources for this page

Verify at the official NPI Registry.