Rachel Prendergast, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11582 Issued in FL

Practice address

3018 Cortona Dr
Melbourne, FL 32940-8609

Phone

(727) 656-2502

NPI assigned

Jan 24, 2024

Last updated

Jan 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1447012612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 CORTONA DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408609",
            "telephone_number": "727-656-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 CORTONA DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408609",
            "telephone_number": "727-656-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENDERGAST",
        "first_name": "RACHEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": "10925949",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Urgent Care of Brevard LLC (Premier Urgent Care at Suntree/Premier Urgent Care at Viera)
• Premiere Medical Group PA
• Brendan Michael Prendergast, M.D.
• Christopher Thomas Prendergast, R.PH
• Lindsay Jane Prendergast
• Presgar Imaging of Rockledge LLC (South Brevard Imaging)
• Holly Georgianne Presley
• Marion Charitty Presnal, LMHC
• Prestige Cardiology Consultants LLC
• Julianne Prete, PA-C

• Clinical Social Worker in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.