Active NPI
Rachel Richard, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1821775495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.025643
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primecare Community Health, Inc. | Current | Accepting new patients | |
| Primecare Community Health Inc | Current | Accepting new patients | |
| Primecare Community Health, Inc. | Current | 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
- 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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1558532739
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1891541215
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1225010911
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1356622500
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.