Active NPI
Rachel J. Yaw, LCSW
- Clinical Social Worker
- Troy, IL
National Provider Identifier
1447873765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149016254
- Practice address
- 189 E US Highway 40 Ste B
Troy, IL 62294-2267 - Phone
- (618) 978-7463
- NPI assigned
- May 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 149016254 | IL | Primary |
| Clinical Social Worker | 1041C0700X | 2013019429 | MO |
Addresses
Primary practice location
189 E US Highway 40 Ste B
Troy, IL 62294-2267
Mailing address
189 E US Highway 40 Ste B
Troy, IL 62294-2267
Phone (618) 978-7463
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149016254 | IL | MD | Clinical Social Worker |
| 2013019429 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1447873765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 E US HIGHWAY 40 STE B",
"city": "TROY",
"state": "IL",
"postal_code": "622942267",
"telephone_number": "618-978-7463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 E US HIGHWAY 40 STE B",
"city": "TROY",
"state": "IL",
"postal_code": "622942267",
"telephone_number": "618-978-7463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAW",
"first_name": "RACHEL",
"middle_name": "J.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-20",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149016254",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2013019429",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.