Rachel Krecidlo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904020416 Issued in VA

Practice address

74 Scruggs Rd Ste 104
Moneta, VA 24121-6330

Phone

(514) 912-8204

NPI assigned

May 4, 2026

Last updated

May 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1225975576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 DILLON CABIN RD",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241216338",
            "telephone_number": "860-885-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 SCRUGGS RD STE 104",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241216330",
            "telephone_number": "514-912-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRECIDLO",
        "first_name": "RACHEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904020416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Burgess, MD, PC
• Bradford Thomas Herlehy, DC
• Benjamin Michael Hodges, DPT
• Leigh Ann Klipper, LCSW
• Stephanie Dianne Klose, CHPT
• Jessica Dawn Lamont, DPT, PT
• W. Robert Lange, M.D.
• Steven Teeford Lewis, MD
• Jason Lim
• Janice E Luth, MD

• Clinical Social Worker in Moneta, VA
• Providers in Moneta, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.