Rachel Lynn Grahn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075557-1 Issued in NY

Practice address

1133 Route 55 Ste 11
Lagrangeville, NY 12540-5052

Phone

(516) 477-1484

Fax

(845) 471-2223

NPI assigned

Nov 9, 2005

Last updated

Jun 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Rachel Lynn Hertel Former name

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wolf Spirit Wellness and Counseling Center LLCGroup PAC ID 0244604114, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wolf Spirit Wellness and Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Woodbury, CT
  • NPI 1710480520
  Medicare reassignment Care Compare group NPD
• Hani Khalil Psychiatric Nurse Practitioner PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hopewell Junction, NY
  • NPI 1346790425
  NPD (past)
• Putnam Family and Community Services Inc

  dba CoveCare Center

  • Mental Health Counselor
  • Carmel, NY
  • NPI 1497737167
  NPD (past)
• Putnam Family and Community Services Inc

  dba CoveCare Center

  • Mental Illness Community Based Residential Treatment Facility
  • Carmel, NY
  • NPI 1972458545
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1356322069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SHERMAN RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067765701",
            "telephone_number": "516-477-1484",
            "fax_number": "845-471-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 ROUTE 55 STE 11",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405052",
            "telephone_number": "516-477-1484",
            "fax_number": "845-471-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHN",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "064294-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075557-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "HERTEL",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Douglas S. Gilmour
• Bonnie G. Glick
• Neerja Goel, O.D.
• Jessica Gomes, M.S.
• Veronica Gordon
• John P Granger, DMD
• Great Atlantic & Pacific Tea Company Inc (A & P Pharmacy)
• Robert S Greenbaum, OD
• Michelle A Grossman, RDMS
• Julissa Guzman

• Clinical Social Worker in Lagrangeville, NY
• Providers in Lagrangeville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.