Individual provider Active NPI

Rachel Richard, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1821775495
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.025643 Issued in IL
Practice address
1920 N Hamlin Ave
Chicago, IL 60647-3411
Phone
(773) 772-7202
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 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 149.025643 IL
Clinical Social Worker 1041C0700X 149.025643 IL Primary

Addresses

Primary practice location

1920 N Hamlin Ave
Chicago, IL 60647-3411

Mailing address

1920 N Hamlin Ave
Chicago, IL 60647-3411
Phone (773) 772-7202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230831003192 IL Practitioner - Clinical Social Worker 5597128926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare Community Health, Inc. Current Accepting new patients
Primecare Community Health Inc CurrentSince Aug 16, 2023 Accepting new patients
Primecare Community Health, Inc. CurrentSince Aug 16, 2023 Accepting new patients
Primecare Community Health, Inc. Past Accepting new patients

Locations

1431 N Western Ave
Ste 406
Chicago, IL 60622
Phone (312) 491-5495

1920 N Hamlin Ave
Chicago, IL 60647
Phone (773) 772-7202

Interoperability endpoints

  • Direct secure messaging: rachel.richard.1@16494.direct.athenahealth.com

Organizations & group practices 4

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1821775495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 N HAMLIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473411",
            "telephone_number": "773-772-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N HAMLIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473411",
            "telephone_number": "773-772-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "RACHEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149.025643",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.