Individual provider Active NPI

Rachel Ann Sackenheim, MSW, LISW-S

  • Social Worker
  • West Chester, OH
National Provider Identifier
1205086923
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.1303087-SUPV Issued in OH
Practice address
9394 Sterling Dr
West Chester, OH 45241-5107
Phone
(513) 779-3014
Fax
(513) 779-3494
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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 S.0701329.TRNE OH
Social Worker 104100000X I.1303087-SUPV OH Primary

Addresses

Primary practice location

9394 Sterling Dr
West Chester, OH 45241-5107

Mailing address

9394 Sterling Dr
West Chester, OH 45241-5107
Phone (513) 779-3014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1303087-SUPVOHMDSocial Worker
S.0701329.TRNEOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Past Accepting new patients

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": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1205086923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9394 STERLING DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "452415107",
            "telephone_number": "513-779-3014",
            "fax_number": "513-779-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9394 STERLING DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "452415107",
            "telephone_number": "513-779-3014",
            "fax_number": "513-779-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKENHEIM",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.0701329.TRNE",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1303087-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.