Individual provider Active NPI

Rachael McGovern, LICSW

  • Clinical Social Worker
  • Bedford, MA
National Provider Identifier
1346692829
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
127913 Issued in MA
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

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
042611055OtherMATAX ID
1004745OtherMAFALLON
99618201OtherMANETWORK HEALTH
1004745OtherMANHP
M18633OtherMABCBS
0000023532OtherMABMC
13003287OtherMAMBHP

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

LicenseStateTypeSpecialty
127913MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.