Active NPI
Rachael McGovern, LICSW
- Clinical Social Worker
- Bedford, MA
National Provider Identifier
1346692829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 127913
- Practice address
- 205 Burlington Rd
Bedford, MA 01730 - Phone
- (781) 761-5064
- NPI assigned
- Jul 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 127913 | MA | Primary |
Addresses
Primary practice location
205 Burlington Rd
Bedford, MA 01730
Mailing address
205 Burlington Rd
Bedford, MA 01730-1406
Other practice location 1
7 Harbor View Rd
Nahant, MA 01908-1111
Phone (603) 702-2408
Other practice location 2
7 Harbor View Rd
Nahant, MA 01908-1111
Phone (603) 702-2408
Other practice location 3
274 Kimball St Apt 3L
Fitchburg, MA 01420-4245
Phone (781) 870-7575
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042611055 | Other | MA | TAX ID |
| 1004745 | Other | MA | FALLON |
| 99618201 | Other | MA | NETWORK HEALTH |
| 1004745 | Other | MA | NHP |
| M18633 | Other | MA | BCBS |
| 0000023532 | Other | MA | BMC |
| 13003287 | Other | MA | MBHP |
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 |
|---|---|---|---|
| 127913 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Edinburg Center Inc | Clinical | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1346692829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 BURLINGTON RD",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017301406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 BURLINGTON RD",
"city": "BEDFORD",
"state": "MA",
"postal_code": "01730",
"telephone_number": "781-761-5064"
}
],
"practiceLocations": [
{
"address_1": "7 Harbor View Rd",
"address_purpose": "LOCATION",
"city": "Nahant",
"state": "MA",
"postal_code": "019081111",
"country_code": "US",
"telephone_number": "603-702-2408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7 Harbor View Rd",
"address_purpose": "LOCATION",
"city": "Nahant",
"state": "MA",
"postal_code": "019081111",
"country_code": "US",
"telephone_number": "603-702-2408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "274 Kimball St Apt 3L",
"address_purpose": "LOCATION",
"city": "Fitchburg",
"state": "MA",
"postal_code": "014204245",
"country_code": "US",
"telephone_number": "781-870-7575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGOVERN",
"first_name": "RACHAEL",
"name_prefix": "Miss",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-07",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "127913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "042611055",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "1004745",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "99618201",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "1004745",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M18633",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "0000023532",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP",
"identifier": "13003287",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.