Rachel Nicholson, LSW

Individual provider Active NPI Clinical Social Worker · River Grove, IL

NPI 1649923830 · NPPES record last updated Jan 28, 2022

Key facts

NPI
1649923830
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
2432 Wood St
River Grove, IL 60171-1760
Phone
(708) 567-8020
Fax
(708) 401-0468
NPI assigned
Jan 28, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Head First Health, LLC Clinical Current
since Feb 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

2432 Wood St
River Grove, IL 60171-1760

Mailing address

228 Timber Trails Blvd
Gilberts, IL 60136-4055

Other providers in River Grove, IL

All providers in River Grove, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.