Rachel Marie Bickenbach, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149011415 Issued in IL

Practice address

2750 N Racine Ave
Suite #1
Chicago, IL 60614-1206

Phone

(773) 529-1200

Fax

(773) 296-6131

NPI assigned

Sep 16, 2006

Last updated

Sep 24, 2008By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Full Life Centers, LLC

  • Counselor
  • Chicago, IL
  • NPI 1619077385
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1811093800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 N RACINE AVE",
            "address_2": "SUITE #1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141206",
            "telephone_number": "773-529-1200",
            "fax_number": "773-296-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 N RACINE AVE",
            "address_2": "SUITE #1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141206",
            "telephone_number": "773-529-1200",
            "fax_number": "773-296-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKENBACH",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00434457",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynne Bichl, APN-CPNP
• Eva Bici, DMD
• Margaret Bick
• Katherine Elise Bickel, RN, MSN
• Scott T Bickel, DO
• Peggy Susan Bickham, PHARMD
• Daniel Bickley
• Amy Bicknell, LCSW
• Alma R Bicknese, MD
• Nalini T Bidani, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.