Rachel Marie Edgcomb, CADC
Individual provider Active NPI Clinical Social Worker · Peru, IL
NPI 1629711858 · NPPES record last updated Dec 4, 2025
Key facts
- NPI
- 1629711858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 37205 (IL)
- Practice address
- 710 Peoria St
Peru, IL 61354-3262 - Phone
- (815) 780-0690
- Fax
- (815) 410-1937
- NPI assigned
- Apr 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peace by Piece Counseling PC
Maitri Path to Wellness PLLC
Practice addresses (Care Compare)
110 E Main St
Suite 209
Ottawa, IL 61350-2900
Phone (815) 343-7345
710 Peoria St
Peru, IL 61354-3351
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250911004503 | IL | Practitioner - Clinical Social Worker | 5890298137 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37205 | IL | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maitri Path to Wellness PLLC | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
| Maitri Path to Wellness PLLC | Past | Accepting new patients |
Locations
710 Peoria St
Peru, IL 61354
Phone (815) 223-3500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37205 | IL | |
| Clinical Social Worker | 1041C0700X | 37205 | IL | Yes |
Addresses
Primary practice location
710 Peoria St
Peru, IL 61354-3262
Mailing address
710 Peoria St
Peru, IL 61354-3262
Phone (815) 780-0690
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@maitripathtowellness.com |
Other providers in Peru, IL
- Leslie Duntemann
- Brian E Duttlinger
- Kimberly Jo Duttlinger
- Kristin Dwyer
- Marrissa Mia Dybas
- Emerging Vision, Inc
- Andrea Erickson
- Eugene Becker MD SC
- Eye Care Professionals of Peru OD PC
- Kayla Marie Fallen
All providers in Peru, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.