Active NPI
Rachael Lauren Stern, MSW
- Clinical Social Worker
- Alexandria, VA
National Provider Identifier
1255610002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16950
- Practice address
- 2121 Eisenhower Ave Ste 300
Alexandria, VA 22314-4688 - Phone
- (310) 383-1090
- NPI assigned
- Aug 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 72 081920 | NY | |
| Clinical Social Worker | 1041C0700X | 0903003714 | VA | |
| Clinical Social Worker | 1041C0700X | LG200002347 | DC | |
| Clinical Social Worker | 1041C0700X | 16950 | MD | Primary |
Addresses
Primary practice location
2121 Eisenhower Ave Ste 300
Alexandria, VA 22314-4688
Mailing address
2121 Eisenhower Ave Ste 300
Alexandria, VA 22314-4688
Phone (310) 383-1090
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG200002347 | DC | MD | Clinical Social Worker |
| 72 081920 | NY | MD | Clinical Social Worker |
| 0903003714 | VA | MD | Clinical Social Worker |
| 16950 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Break the Frame Psychotherapy, LLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Silver Spring, MD
- NPI 1578439071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680307200000",
"number": "1255610002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 EISENHOWER AVE STE 300",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144688",
"telephone_number": "310-383-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 EISENHOWER AVE STE 300",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144688",
"telephone_number": "310-383-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "RACHAEL",
"middle_name": "LAUREN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-10",
"last_updated": "2023-04-01",
"certification_date": "2023-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "72 081920",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0903003714",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LG200002347",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "16950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.