Individual provider Active NPI

Jennifer Rarich, LCSW

  • Clinical Social Worker
  • Nesquehoning, PA
National Provider Identifier
1548685449
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019614 Issued in PA
Practice address
108 W Catawissa St
Nesquehoning, PA 18240
Phone
(570) 669-9787
Fax
(570) 669-9785
NPI assigned
Feb 28, 2014
Last updated
Aug 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW019614 PA Primary

Addresses

Primary practice location

108 W Catawissa St
Nesquehoning, PA 18240

Mailing address

801 Ostrum St
Enrollment Center
Bethlehem, PA 18015-1000
Phone (484) 526-8046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20181008000102 PA Practitioner - Clinical Social Worker 8123241437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

257 Brodhead Rd
Bethlehem, PA 18017-8938
Phone (484) 526-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW019614PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Carbon-Schuylkill Community Hospital, Inc. Current Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. CurrentSince Sep 1, 2018 Accepting new patients
St Luke's Physician Group Inc CurrentSince Dec 13, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Sep 1, 2018 Accepting new patients
St Luke's Physician Group Inc CurrentSince Dec 13, 2021 Accepting new patients

Locations

257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1548685449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "address_2": "ENROLLMENT CENTER",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-8046",
            "fax_number": "833-213-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W CATAWISSA ST",
            "city": "NESQUEHONING",
            "state": "PA",
            "postal_code": "18240",
            "telephone_number": "570-669-9787",
            "fax_number": "570-669-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RARICH",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nesquehoning, PA

Sources for this page

Verify at the official NPI Registry.