Individual provider Active NPI

Rachel Ducote Ross, LCSW

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1609593201
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008258 Issued in GA
Practice address
130 26TH St NW Apt 712
Atlanta, GA 30309-4802
Phone
(504) 655-6746
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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 CSW008258 GA Primary

Addresses

Primary practice location

130 26TH St NW Apt 712
Atlanta, GA 30309-4802

Mailing address

130 26TH St NW Apt 712
Atlanta, GA 30309-4802
Phone (504) 655-6746

Other names 1

  • Rachel Elizabeth Ducote Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20231024002544 GA Practitioner - Clinical Social Worker 8426404609 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW008258GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Dec 6, 2024 Accepting new patients
Vitae Health Medical Georgia LLC Clinical CurrentSince Sep 11, 2023 Accepting new patients

Locations

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

2722 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-0626

811 Kennesaw Ave NW
Marietta, GA 30060
Phone (770) 422-2451

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1609593201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 26TH ST NW APT 712",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094802",
            "telephone_number": "504-655-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 26TH ST NW APT 712",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094802",
            "telephone_number": "504-655-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "RACHEL",
        "middle_name": "DUCOTE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "DUCOTE",
            "middle_name": "ELIZABETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.