Rachel Anne Hogan, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26703 Issued in MN

Practice address

150 Emerson Ave E
West St Paul, MN 55118-2535

Phone

(651) 241-1800

NPI assigned

Nov 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rachel Anne Boelter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

85.6 of 100Reported as group

Quality

72.5

Promoting interoperability

100

Improvement activities

40

Cost

77.07

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1407458318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 EMERSON AVE E",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551182535",
            "telephone_number": "651-241-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 EMERSON AVE E",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551182535",
            "telephone_number": "651-241-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "BOELTER",
            "middle_name": "ANNE",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Ann Hendrikson, LICSW
• Matthew Hennen, O.D.
• Allyssa Ann Herning, CMT
• Hodan Home Care LLC
• Lisa Hoffman-Konn, PHD
• Holistic Mental Health PLLC
• Lenel House
• Laura Hurley
• Cyrese Ingebrigtsen
• Jody M Jackson

• Clinical Social Worker in West St Paul, MN
• Providers in West St Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.