Individual provider Active NPI

Rachel E Simon, MSW, LCSW, MED

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1568845550
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW132492 Issued in PA
Practice address
1518 Walnut St Ste 401
Philadelphia, PA 19102
Phone
(240) 620-4966
NPI assigned
Jul 8, 2015
Last updated
May 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2019

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 SW132492 PA Primary

Addresses

Primary practice location

1518 Walnut St Ste 401
Philadelphia, PA 19102

Mailing address

1518 Walnut St Ste 401
Philadelphia, PA 19102-3403
Phone (240) 620-4966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 10, 2024 through Mar 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
SW132492PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Therapy Group Clinical Current Accepting new patients

Locations

1518 Walnut St
Ste 900
Philadelphia, PA 19102
Phone (267) 457-4966

Organizations & group practices 1

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1568845550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST STE 401",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023403",
            "telephone_number": "240-620-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST STE 401",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "240-620-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "RACHEL",
        "middle_name": "E",
        "credential": "MSW, LCSW, MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW132492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.