Individual provider Active NPI

Rachel Ilana Matzkin, MSW

  • Clinical Social Worker
  • Hempstead, NY
National Provider Identifier
1740894328
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084643 Issued in NY
Practice address
133 President St
Hempstead, NY 11550-4718
Phone
(718) 909-8241
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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 084643 NY Primary

Addresses

Primary practice location

133 President St
Hempstead, NY 11550-4718

Mailing address

133 President St
Hempstead, NY 11550-4718
Phone (718) 909-8241

Other names 1

  • Rachel Ilana Klechevsky 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
084643NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Audacity to Heal Inc CurrentSince Jan 28, 2024 Accepting new patients

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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1740894328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PRESIDENT ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504718",
            "telephone_number": "718-909-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PRESIDENT ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504718",
            "telephone_number": "718-909-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZKIN",
        "first_name": "RACHEL",
        "middle_name": "ILANA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "KLECHEVSKY",
            "middle_name": "ILANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.