Rachel M Conrad, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149023025 Issued in IL

Practice address

2663 Farragut Dr Unit B
Springfield, IL 62704-1462

Phone

(217) 546-4090

Fax

(217) 679-4338

NPI assigned

Sep 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Mental Health Centers of Central Illinois

  • Clinical Social Worker
  • Springfield, IL
  • NPI 1750614798
  NPD

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1619690997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2663 FARRAGUT DR UNIT B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041462",
            "telephone_number": "217-546-4090",
            "fax_number": "217-679-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2663 FARRAGUT DR UNIT B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041462",
            "telephone_number": "217-546-4090",
            "fax_number": "217-679-4338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 N 8th St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627026324",
            "country_code": "US",
            "telephone_number": "217-525-1064",
            "fax_number": "217-525-1651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "RACHEL",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "149023025",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Conklen, APN
• Joseph D. Conlon, M.D.
• Austin Thomas Connelly
• Drew Conner
• Landon Conrad, PHARM.D.
• Erik J Constance, M.D.
• Dana Constant, PHARMD
• Aaron Constanzo, RBT
• Jaclyn Conway, MD
• Stephen G Cook, MD

• Clinical Social Worker in Springfield, IL
• Providers in Springfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.