Individual provider Active NPI

Rachel Marie Bastien-Chilson, LCSW

  • Clinical Social Worker
  • Utica, NY
National Provider Identifier
1851936413
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092066 Issued in NY
Practice address
616 Mary Street
Utica, NY 13491
Phone
(315) 732-6228
NPI assigned
Nov 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 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 095381 NY
Clinical Social Worker 1041C0700X 092066 NY Primary

Addresses

Primary practice location

616 Mary Street
Utica, NY 13491

Mailing address

624 Elizabeth St
Utica, NY 13501-2413
Phone (315) 272-2600

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
I20220615000345 NY Practitioner - Clinical Social Worker 0941689335 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095381NYMDSocial Worker
092066NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Neighborhood Center, Inc. Clinical CurrentSince Jun 2, 2022 Accepting new patients

Locations

624 Elizabeth St
Utica, NY 13501
Phone (315) 272-2600

Organizations & group practices 2

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": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1851936413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 ELIZABETH ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012413",
            "telephone_number": "315-272-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 MARY STREET",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13491",
            "telephone_number": "315-732-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIEN-CHILSON",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095381",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.