Individual provider Active NPI

Rachael Jene Wegener, LCSW

  • Clinical Social Worker
  • Palo Alto, CA
National Provider Identifier
1710441167
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW101625 Issued in CA
Practice address
230 California Ave Ste 205
Palo Alto, CA 94306-1637
Phone
(408) 256-0444
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW101625 CA Primary

Addresses

Primary practice location

230 California Ave Ste 205
Palo Alto, CA 94306-1637

Mailing address

230 California Ave Ste 205
Palo Alto, CA 94306-1637
Phone (510) 828-3389

Other practice location 1

2364 Cory Ave
San Jose, CA 95128-1307
Phone (510) 828-3389

Other names 1

  • Rachael Sims Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW101625CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1710441167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CALIFORNIA AVE STE 205",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061637",
            "telephone_number": "510-828-3389",
            "fax_number": "669-267-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CALIFORNIA AVE STE 205",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061637",
            "telephone_number": "408-256-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2364 Cory Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281307",
            "country_code": "US",
            "telephone_number": "510-828-3389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEGENER",
        "first_name": "RACHAEL",
        "middle_name": "JENE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW101625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "SIMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.