Active NPI
Rachel Elizabeth Bartkowiak, LMSW
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1497232110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 120357
- Practice address
- 6244 El Cajon Blvd Ste 14
San Diego, CA 92115-3918 - Phone
- (619) 640-3266
- NPI assigned
- Jul 25, 2018
- Last updated
- Apr 13, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 105487-1 | NY | |
| Clinical Social Worker | 1041C0700X | 120357 | CA | Primary |
Addresses
Primary practice location
6244 El Cajon Blvd Ste 14
San Diego, CA 92115-3918
Mailing address
19 Hopkins Rd
Amherst, NY 14221-4641
Phone (716) 539-5255
Other practice location 1
140 Pine St.
Hamburg, NY 14075
Phone (716) 646-4991
Other practice location 2
19 Hopkins Rd
Amherst, NY 14221-4641
Phone (716) 539-5255
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 |
|---|---|---|---|
| 105487-1 | NY | MD | Mental Health Counselor |
| 120357 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712966400000",
"number": "1497232110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 HOPKINS RD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142214641",
"telephone_number": "716-539-5255",
"fax_number": "716-559-1574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6244 EL CAJON BLVD STE 14",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921153918",
"telephone_number": "619-640-3266"
}
],
"practiceLocations": [
{
"address_1": "140 Pine St.",
"address_purpose": "LOCATION",
"city": "Hamburg",
"state": "NY",
"postal_code": "14075",
"country_code": "US",
"telephone_number": "716-646-4991",
"fax_number": "716-464-4990",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19 Hopkins Rd",
"address_purpose": "LOCATION",
"city": "Amherst",
"state": "NY",
"postal_code": "142214641",
"country_code": "US",
"telephone_number": "716-539-5255",
"fax_number": "716-559-1574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTKOWIAK",
"first_name": "RACHEL",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-25",
"last_updated": "2024-04-13",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "105487-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "120357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.