Rachel Lackovic, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017250 Issued in PA

Practice address

1946 W 26TH St
Erie, PA 16508-1162

Phone

(814) 873-5206

Fax

(844) 556-4667

NPI assigned

Mar 29, 2011

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rachel a. Lackovic, LCSW LLC

  • Clinical Social Worker
  • Erie, PA
  • NPI 1912366782
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255620449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 WEST 26TH STREET",
            "address_2": "BOX 14",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16508",
            "telephone_number": "814-873-5206",
            "fax_number": "844-556-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081162",
            "telephone_number": "814-873-5206",
            "fax_number": "844-556-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKOVIC",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer N La Roche, LPC
• Alexis Labeka, LMT
• Kimberly Ann Laboski, CRNP, FNP-C
• Glenn Daniel Labrozzi, PT, DPT
• Trisha Lynn Labruzzo, CRNP
• Rebekah Ladaika
• Holly Lafuria, MS OTR/L
• Rachel Anne Lagos, DO
• Lily Lagrandeur, RN, BSN
• Jessalin S Lai, PT

• Clinical Social Worker in Erie, PA
• Providers in Erie, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.