Individual provider Active NPI

Rachel Weisser, MSW, LCSW

  • Clinical Social Worker
  • The Dalles, OR
National Provider Identifier
1356786362
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6307 Issued in OR
Practice address
1210 Dry Hollow Rd Ste 6
The Dalles, OR 97058
Phone
(503) 710-5709
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 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 L6307 OR Primary

Addresses

Primary practice location

1210 Dry Hollow Rd Ste 6
The Dalles, OR 97058

Mailing address

1210 Dry Hollow Rd
Ste 6
The Dalles, OR 97058-3167
Phone (541) 340-4076

Other names 1

  • Rachel Laubert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20150410002208 OR Practitioner - Clinical Social Worker 8820316441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1210 Dry Hollow Rd
Suite 6
The Dalles, OR 97058-3167
Phone (541) 340-4076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L6307ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Weisser Wellness, LLC Clinical CurrentSince Jul 30, 2020 Accepting new patients
Mid-Columbia Center for Living Past Accepting new patients
Mid-Columbia Center for Living PastSince Jun 15, 2021 Accepting new patients

Locations

1210 Dry Hollow Rd
Ste 6
The Dalles, OR 97058
Phone (415) 645-3505

Organizations & group practices 3

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": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1356786362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 DRY HOLLOW RD",
            "address_2": "STE 6",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583167",
            "telephone_number": "541-340-4076",
            "fax_number": "888-526-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 DRY HOLLOW RD STE 6",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "97058",
            "telephone_number": "503-710-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSER",
        "first_name": "RACHEL",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "LAUBERT",
            "credential": "MSW, CSWA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in The Dalles, OR

Sources for this page

Verify at the official NPI Registry.