Active NPI
Rachel Marie Bastien-Chilson, LCSW
- Clinical Social Worker
- Utica, NY
National Provider Identifier
1851936413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 092066
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095381 | NY | MD | Social Worker |
| 092066 | NY | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Neighborhood Center, Inc. | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.