Individual provider Active NPI

Rachel Herberger, LCSW

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1336409671
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084030 Issued in NY
Practice address
330 Delaware Ave
Buffalo, NY 14202-1804
Phone
(716) 842-2750
NPI assigned
May 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 086180 NY
Mental Health Counselor 101YM0800X 086180 NY
Clinical Social Worker 1041C0700X 0904014488 VA
Clinical Social Worker 1041C0700X 084030 NY Primary

Addresses

Primary practice location

330 Delaware Ave
Buffalo, NY 14202-1804

Mailing address

330 Delaware Ave
Buffalo, NY 14202-1804
Phone (716) 842-2750

Other practice location 1

625 Delaware Ave
Buffalo, NY 14202
Phone (716) 882-3151

Other practice location 2

324 T B Stanley Hwy
Bassett, VA 24055-6108
Phone (276) 629-1076

Other names 1

  • Rachel Lauria Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160628000401 NY Practitioner - Clinical Social Worker 8325339070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Buffalo School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bestself Behavioral Health IncGroup PAC ID 6507856622, 77 clinicians

Practice addresses (Care Compare)

3176 Abbott Rd
Suite 500
Orchard Park, NY 14127-1069
Phone (716) 822-2117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084030NYMDClinical Social Worker
086180NYMDClinical Social Worker
0904014488VAMDClinical Social Worker
14687SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bestself Behavioral Health, Inc. CurrentSince Nov 12, 2023 Accepting new patients

Locations

899 Main St
Buffalo, NY 14203
Phone (716) 862-6544

3176 Abbott Rd
Ste 500
Orchard Park, NY 14127
Phone (716) 822-2117

Organizations & group practices 2

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": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1336409671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021804",
            "telephone_number": "716-842-2750",
            "fax_number": "716-842-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021804",
            "telephone_number": "716-842-2750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "14202",
            "country_code": "US",
            "telephone_number": "716-882-3151",
            "fax_number": "716-886-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 T B Stanley Hwy",
            "address_purpose": "LOCATION",
            "city": "Bassett",
            "state": "VA",
            "postal_code": "240556108",
            "country_code": "US",
            "telephone_number": "276-629-1076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERBERGER",
        "first_name": "RACHEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086180",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "086180",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014488",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "LAURIA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.