Individual provider Active NPI

Rachael Nicole Yudt, M.S.W., L.S.W.

  • Clinical Social Worker
  • Phoenixville, PA
National Provider Identifier
1184982001
Registry record updated Apr 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW129263 Issued in PA
Practice address
601 Gay St
Phoenixville, PA 19460-3852
Phone
(610) 489-3340
Fax
(610) 489-3375
NPI assigned
Apr 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW129263 PA Primary

Addresses

Primary practice location

601 Gay St
Phoenixville, PA 19460-3852

Mailing address

PO Box 187
Gwynedd Valley, PA 19437-0187
Phone (610) 489-3340

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW129263PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Psychiatric Center Inc PastSince Aug 26, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEDIBA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335571200000",
    "number": "1184982001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "GWYNEDD VALLEY",
            "state": "PA",
            "postal_code": "194370187",
            "telephone_number": "610-489-3340",
            "fax_number": "610-489-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GAY ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603852",
            "telephone_number": "610-489-3340",
            "fax_number": "610-489-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUDT",
        "first_name": "RACHAEL",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-28",
        "last_updated": "2012-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW129263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2012; 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.