Individual provider Active NPI

Rachel Lessard, LCSW

  • Clinical Social Worker
  • Smithtown, NY
National Provider Identifier
1770873994
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084928 Issued in NY
Practice address
496 Smithtown Byp
Ste 203
Smithtown, NY 11787-5011
Phone
(516) 404-7337
NPI assigned
Apr 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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 084928 NY Primary

Addresses

Primary practice location

496 Smithtown Byp
Ste 203
Smithtown, NY 11787-5011

Mailing address

322 Garfield Ave
West Hempstead, NY 11552-1905
Phone (516) 404-7337

Other practice location 1

160 Howells Rd Ste 18
Bay Shore, NY 11706-5320
Phone (631) 371-3825

Other practice location 2

496 Smithtown Byp Ste 203
Smithtown, NY 11787-5005
Phone (631) 371-3825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170327001924 NY Practitioner - Clinical Social Worker 6608151071 Reassigns benefits to 1 organization
Practice locations: Smithtown, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Rachel Lessard LCSW PCGroup PAC ID 9032517107, 9 clinicians

Practice addresses (Care Compare)

496 Smithtown Byp
Suite 203
Smithtown, NY 11787-5011
Phone (516) 404-7337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Within Wisdom and Wellness Collaborative LLC Clinical Current Accepting new patients
Pathways Within Inc. Current Accepting new patients

Locations

520 Franklin Ave
Ste L1
Garden City, NY 11530
Phone (516) 515-0696

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": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1770873994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 GARFIELD AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521905",
            "telephone_number": "516-404-7337",
            "fax_number": "631-382-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SMITHTOWN BYP",
            "address_2": "STE 203",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875011",
            "telephone_number": "516-404-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Howells Rd Ste 18",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117065320",
            "country_code": "US",
            "telephone_number": "631-371-3825",
            "fax_number": "631-382-8250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "496 Smithtown Byp Ste 203",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117875005",
            "country_code": "US",
            "telephone_number": "631-371-3825",
            "fax_number": "631-382-8250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESSARD",
        "first_name": "RACHEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.