Individual provider Active NPI

Rachel L Thorpe, LICSW, LCSW

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1477576742
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10379 Issued in FL
Practice address
4167 Clark Rd
Sarasota, FL 34233-2403
Phone
(941) 219-3111
Fax
(941) 894-1322
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ISW00714 RI
Clinical Social Worker 1041C0700X SW10379 FL Primary

Addresses

Primary practice location

4167 Clark Rd
Sarasota, FL 34233-2403

Mailing address

4167 Clark Rd
Sarasota, FL 34233-2403
Phone (941) 219-3111

Other identifiers 4

IdentifierTypeStateIssuer
Z03F4OtherFLBC/BS OF FLORIDA
275242405OtherFLHUMANA MILITARY
216490OtherRIBLUE CROSS BLUE SHIELD
6272525OtherRIUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120307000362 FL Practitioner - Clinical Social Worker 4587747928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gulf Coast PsychotherapyGroup PAC ID 0941468011, 8 clinicians

Practice addresses (Care Compare)

4167 Clark Rd
Suite 3
Sarasota, FL 34233-2403
Phone (941) 219-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW00714RIMDSocial Worker
SW10379FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Psychotherapy Clinical CurrentSince Aug 12, 2011 Accepting new patients
Awesome Minds Psychiatric LLC Past Accepting new patients

Locations

4167 Clark Rd
Sarasota, FL 34233
Phone (941) 219-3111

4167 Clark Rd
Unit 3
Sarasota, FL 34233
Phone (941) 219-3111

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1477576742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4167 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332403",
            "telephone_number": "941-219-3111",
            "fax_number": "941-894-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4167 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332403",
            "telephone_number": "941-219-3111",
            "fax_number": "941-894-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORPE",
        "first_name": "RACHEL",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LICSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "ISW00714",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FLORIDA",
            "identifier": "Z03F4",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA MILITARY",
            "identifier": "275242405",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "216490",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6272525",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.