Rachel E Clarke, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150101479 Issued in IL

Practice address

3809 W Grand Ave
Chicago, IL 60651

Phone

(773) 276-0200

Fax

(773) 276-4226

NPI assigned

Apr 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1720513344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60651",
            "telephone_number": "773-276-0200",
            "fax_number": "773-276-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60651",
            "telephone_number": "773-276-0200",
            "fax_number": "773-276-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "RACHEL",
        "middle_name": "E",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150101479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10003232034",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588013312",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisa Clarke, RBT
• Maria Clarke, MD
• Michael J Clarke, MD
• Nora M Clarke, FNP
• Peter M Clarke, MD
• Jessica Tatiana Claro
• Ana Gabriela Claros Ospina, MD
• Tyrisha Clary-Selli, M.D.
• Ashton Clary
• Mikayla Marie Clary, LSW

• Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.