Individual provider Active NPI

Rachel Delphine Nadworny, MS

  • Mental Health Counselor
  • Brighton, MA
National Provider Identifier
1306502810
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
77 Warren St # B
Brighton, MA 02135-3601
Phone
(617) 787-1901
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

77 Warren St # B
Brighton, MA 02135-3601

Mailing address

163 South St Apt 2R
Boston, MA 02130-3917
Phone (978) 407-8142

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rnadworny@italianhome.org Direct Italian Home for Children Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20240515002999 MA Practitioner - Mental Health Counselor 3678914199 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Community Solutions Inc CurrentSince Apr 24, 2024 Accepting new patients

Locations

77 Warren St
Bldg 2
Brighton, MA 02135
Phone (617) 383-7804

77 Warren St
#B
Brighton, MA 02135
Phone (617) 787-1901

1125 Centre St
Jamaica Plain, MA 02130
Phone (617) 524-3116

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": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1306502810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 SOUTH ST APT 2R",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303917",
            "telephone_number": "978-407-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WARREN ST # B",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601",
            "telephone_number": "617-787-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADWORNY",
        "first_name": "RACHEL",
        "middle_name": "DELPHINE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rnadworny@italianhome.org",
            "affiliation": "Y",
            "endpointDescription": "organization email",
            "affiliationName": "Italian Home for Children Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "77 Warren St # B",
            "city": "Brighton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021353601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.