Individual provider Active NPI

Rachel Anysz, LSW

  • Social Worker
  • Erie, PA
National Provider Identifier
1689145328
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW135870 Issued in PA
Practice address
2230 W 8TH St Ste 2
Erie, PA 16505-4545
Phone
(814) 516-2440
Fax
(814) 315-9564
NPI assigned
Dec 6, 2018
Last updated
Jan 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Social Worker 104100000X SW135870 PA Primary

Addresses

Primary practice location

2230 W 8TH St Ste 2
Erie, PA 16505-4545

Mailing address

2230 W 8TH St Ste 2
Erie, PA 16505-4545
Phone (814) 516-2440

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW135870PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Journey to a Trauma-Informed Life CurrentSince Feb 2, 2020 Accepting new patients

Locations

2230 W 8th St
Ste 2
Erie, PA 16505
Phone (814) 516-2440

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1689145328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 W 8TH ST STE 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054545",
            "telephone_number": "814-516-2440",
            "fax_number": "814-315-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 W 8TH ST STE 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054545",
            "telephone_number": "814-516-2440",
            "fax_number": "814-315-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYSZ",
        "first_name": "RACHEL",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.