Individual provider Active NPI

Rachel Wolfield, LCSW-R

  • Clinical Social Worker
  • Lake George, NY
National Provider Identifier
1609213479
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R055898-1 Issued in NY
Practice address
2 Joques Farm Rd
Lake George, NY 12845-1113
Phone
(518) 944-9104
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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 R055898-1 NY Primary

Addresses

Primary practice location

2 Joques Farm Rd
Lake George, NY 12845-1113

Mailing address

499 Glen Street
Glens Falls, NY 12801
Phone (518) 798-9187

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
I20170914001045 NY Practitioner - Clinical Social Worker 2668746660 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R055898-1NYMDClinical Social Worker
055898NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Center for the Family CurrentSince Aug 29, 2022 Accepting new patients
Glens Falls Hospital Inc CurrentSince May 2, 2018 Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Nov 9, 2020 Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Nov 9, 2020 Accepting new patients

Locations

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

340 Main St
Hudson Falls, NY 12839
Phone (518) 747-8001

2155 State Route 22B
Morrisonville, NY 12962
Phone (518) 562-3847

22 US Oval
Ste 218
Plattsburgh, NY 12903
Phone (518) 534-9666

359 Ballston Ave
Saratoga Springs, NY 12866
Phone (518) 583-9262

14 Spring St
Schuylerville, NY 12871
Phone (518) 695-3255

Organizations & group practices 4

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1609213479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 GLEN STREET",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-798-9187",
            "fax_number": "518-223-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JOQUES FARM RD",
            "city": "LAKE GEORGE",
            "state": "NY",
            "postal_code": "128451113",
            "telephone_number": "518-944-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFIELD",
        "first_name": "RACHEL",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R055898-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake George, NY

Sources for this page

Verify at the official NPI Registry.