Active NPI
Rena Rauch, LCSW
- Clinical Social Worker
- Lynbrook, NY
National Provider Identifier
1437221264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- RO485031
- 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, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00244817 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RO485031 | NY | MD | Clinical Social Worker |
| 048503 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Counseling Center,Inc | Current | Accepting new patients | |
| The Azure Physical Therapy PC | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valley Stream, NY
- NPI 1437262839
-
- Physical Therapist
- South Ozone Park, NY
- NPI 1518785344
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.