Individual provider Active NPI

Rachael Madeline Boehmer, LCSW

  • Clinical Social Worker
  • Penfield, NY
National Provider Identifier
1578697223
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073779 Issued in NY
Practice address
441 Penbrooke Dr Ste 10
Penfield, NY 14526-2046
Phone
(585) 388-6000
Fax
(585) 388-6004
NPI assigned
Mar 15, 2007
Last updated
Jan 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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 073779 NY Primary

Addresses

Primary practice location

441 Penbrooke Dr Ste 10
Penfield, NY 14526-2046

Mailing address

221 Butler Dr
Pittsford, NY 14534-2542
Phone (585) 415-2677

Other names 1

  • Rachael Lyn Unsicker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20071031000065 NY Practitioner - Clinical Social Worker 6305933888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Penfield Psychiatry PCGroup PAC ID 2365693264, 24 clinicians

Practice addresses (Care Compare)

481 Penbrooke Dr
Suite 6
Penfield, NY 14526-2044
Phone (585) 388-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Network, Inc. CurrentSince Feb 16, 2006 Accepting new patients
Penfield Psychiatry PC CurrentSince Oct 15, 2012 Accepting new patients

Locations

2060 Fairport Nine Mile Point Rd
Ste 400
Penfield, NY 14526
Phone (585) 388-6000

441 Penbrooke Dr
Ste 10
Penfield, NY 14526
Phone (585) 388-6000

481 Penbrooke Dr
Ste 6
Penfield, NY 14526
Phone (585) 388-1110

490 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-2500

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, 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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1578697223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BUTLER DR",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342542",
            "telephone_number": "585-415-2677",
            "fax_number": "585-388-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 PENBROOKE DR STE 10",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262046",
            "telephone_number": "585-388-6000",
            "fax_number": "585-388-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHMER",
        "first_name": "RACHAEL",
        "middle_name": "MADELINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "UNSICKER",
            "middle_name": "LYN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Penfield, NY

Sources for this page

Verify at the official NPI Registry.