Individual provider Active NPI

Rachel Donohue-Dupler

  • Clinical Social Worker
  • Pueblo, CO
National Provider Identifier
1720593395
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926333 Issued in CO
Practice address
720 N Main St Ste 240
Pueblo, CO 81003-3046
Phone
(719) 203-7949
NPI assigned
Dec 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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
Clinical Social Worker 1041C0700X CSW.09926333 CO Primary

Addresses

Primary practice location

720 N Main St Ste 240
Pueblo, CO 81003-3046

Mailing address

1702 Wabash Ave
Pueblo, CO 81004-3341
Phone (719) 306-1765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200417000359 CO Practitioner - Clinical Social Worker 1153751094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

720 N Main St
Suite 240
Pueblo, CO 81003-3046
Phone (719) 203-7949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A New Leaf Therapy, PLLC CurrentSince Oct 19, 2020 Accepting new patients
Inner Refuge Therapy Clinical CurrentSince Dec 22, 2023 Accepting new patients
A New Leaf Therapy, LLC PastSince Apr 6, 2023 Accepting new patients

Locations

720 N Main St
Ste 240
Pueblo, CO 81003
Phone (719) 203-7949

327 Colorado Ave
Pueblo, CO 81004
Phone (719) 948-7120

329 Colorado Ave
Pueblo, CO 81004
Phone (719) 470-0997

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1720593395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 WABASH AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043341",
            "telephone_number": "719-306-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N MAIN ST STE 240",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033046",
            "telephone_number": "719-203-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE-DUPLER",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.