Rachel Claire Clark, L.S.W

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW131980 Issued in PA

Practice address

206 Reily Street
Harrisburg, PA 17102

Phone

(413) 824-1620

NPI assigned

Jan 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1356730501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 REILY ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171022545",
            "telephone_number": "413-824-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 REILY STREET",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17102",
            "telephone_number": "413-824-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RACHEL",
        "middle_name": "CLAIRE",
        "credential": "L.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW131980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T Cinicola, MD
• Circle of Hope Home Care
• Carol E Clark, CRNA
• Gail Joan Nicole Baker Clark, BSBA, RDH, MS
• Jennifer Clark
• Nina Gogic Clay
• Amy E Cleck, CRNP
• Carol O Clelland, RD
• Mary Ann Clement, CRNP
• Anna Clemente, LPC

• Social Worker in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.