Active NPI
Rachel Sanders
- Clinical Social Worker
- Hopkinsville, KY
National Provider Identifier
1407356975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 255430
- Practice address
- 290 Burley Ave
Hopkinsville, KY 42240 - Phone
- (270) 707-2098
- Fax
- (270) 707-2099
- NPI assigned
- Feb 20, 2018
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 253271 | KY | |
| Clinical Social Worker | 1041C0700X | 255430 | KY | Primary |
Addresses
Primary practice location
290 Burley Ave
Hopkinsville, KY 42240
Mailing address
PO Box 614
Hopkinsville, KY 42241-0614
Phone (270) 886-2205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253271 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telos Health Systems Ky LLC | Clinical | Current | Accepting new patients |
Locations
3500 Good Samaritan Way
Louisville, KY 40299
Phone (502) 267-7403
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": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1407356975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 614",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422410614",
"telephone_number": "270-886-2205",
"fax_number": "270-886-0392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 BURLEY AVE",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "42240",
"telephone_number": "270-707-2098",
"fax_number": "270-707-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "253271",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "255430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.