Rachel McDonough

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05635400 Issued in NJ

Practice address

589 Franklin Tpke Ste 7
Ridgewood, NJ 07450-1928

Phone

(201) 694-7276

NPI assigned

Apr 24, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Empower & Inspire Therapeutic Services, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Ridgewood, NJ
  • NPI 1962165266
  NPD Authorized official

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1619311370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 FRANKLIN TPKE STE 7",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501928",
            "telephone_number": "201-694-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 FRANKLIN TPKE STE 7",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501928",
            "telephone_number": "201-694-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05723700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05635400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Mayer
• Robert M Mazziotta, M.D.
• Grace McAlindin, LCSW
• Lauren T McCarthy Debiak, LCSW
• Marianne McCormack, L.C.S.W.
• Francis Eugene McGorty, MD
• Jill Kathleen McGovern, PA-C
• Kayla Michelle McGovern, PA-C
• John Joseph McGreal, MD
• Mary C McGuinness, APN

• Clinical Social Worker in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.