Individual provider Active NPI

Rachel Lynn Swenson, LICSW

  • Clinical Social Worker
  • Gaylord, MN
National Provider Identifier
1346535796
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14794 Issued in MN
Practice address
230 4TH St
Gaylord, MN 55334-4443
Phone
(507) 276-9496
Fax
(507) 299-9496
NPI assigned
Jun 14, 2011
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14794 MN Primary

Addresses

Primary practice location

230 4TH St
Gaylord, MN 55334-4443

Mailing address

33549 571St Ave
Lafayette, MN 56054-3007
Phone (507) 276-9496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20110629000646 MN Practitioner - Clinical Social Worker 5698953248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

230 4TH St
Gaylord, MN 55334-4443
Phone (507) 276-9496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14794MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Swenson Counseling LLC Clinical CurrentSince Sep 6, 2021 Accepting new patients
Inspirations Child and Family Therapy Center, LLC Clinical CurrentSince Aug 11, 2024 Accepting new patients

Locations

1227 S Broadway St
New Ulm, MN 56073
Phone (507) 469-3250

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1346535796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33549 571ST AVE",
            "city": "LAFAYETTE",
            "state": "MN",
            "postal_code": "560543007",
            "telephone_number": "507-276-9496",
            "fax_number": "507-359-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 4TH ST",
            "city": "GAYLORD",
            "state": "MN",
            "postal_code": "553344443",
            "telephone_number": "507-276-9496",
            "fax_number": "507-299-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MN

Sources for this page

Verify at the official NPI Registry.