Active NPI
Rachel Grace Kline
- Social Worker
- Wooster, OH
National Provider Identifier
1376181164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2005119
- Practice address
- 215 S Walnut St
Wooster, OH 44691-4753 - Phone
- (330) 262-7836
- NPI assigned
- Dec 12, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA172461 | OH | |
| Social Worker | 104100000X | S.2005119 | OH | Primary |
Addresses
Primary practice location
215 S Walnut St
Wooster, OH 44691-4753
Mailing address
215 S Walnut St
Wooster, OH 44691-4753
Phone (330) 262-7836
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 |
|---|---|---|---|
| CDCA172461 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S.2005119 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities Corporation | 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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Euclid, OH
- NPI 1972550010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1376181164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S WALNUT ST",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446914753",
"telephone_number": "330-262-7836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S WALNUT ST",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446914753",
"telephone_number": "330-262-7836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "RACHEL",
"middle_name": "GRACE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-12",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA172461",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2005119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.