Individual provider Active NPI

Rena Rauch, LCSW

  • Clinical Social Worker
  • Lynbrook, NY
National Provider Identifier
1437221264
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO485031 Issued in NY
Practice address
381 Sunrise Hwy
Lynbrook, NY 11563
Phone
(516) 599-1181
Fax
(516) 596-9453
NPI assigned
Nov 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RO485031 NY Primary

Addresses

Primary practice location

381 Sunrise Hwy
Lynbrook, NY 11563

Mailing address

124 Franklin PL
Woodmere, NY 11569
Phone (516) 569-6600

Other identifiers 1

IdentifierTypeStateIssuer
00244817MedicaidNY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO485031NYMDClinical Social Worker
048503NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Counseling Center,Inc CurrentSince Oct 1, 1984 Accepting new patients
The Azure Physical Therapy PC PastSince Feb 1, 2025 Accepting new patients

Locations

381 Sunrise Hwy
Lynbrook, NY 11563
Phone (516) 599-1181

50 W Hawthorne Ave
Valley Stream, NY 11580
Phone (516) 524-3846

124 Franklin Pl
Woodmere, NY 11598
Phone 5165696600239

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437221264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "11569",
            "telephone_number": "516-569-6600",
            "fax_number": "516-374-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 SUNRISE HWY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "11563",
            "telephone_number": "516-599-1181",
            "fax_number": "516-596-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCH",
        "first_name": "RENA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO485031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244817",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.