Active NPI
Rachel Sara Bulbulian, LICSW
- Clinical Social Worker
- Rochester, MN
National Provider Identifier
1861543274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19502
- Practice address
- 300 3Rd Ave SE
Suite 208
Rochester, MN 55904-4619 - Phone
- (507) 289-2332
- Fax
- (507) 289-2332
- NPI assigned
- Jan 13, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19502 | MN | Primary |
Addresses
Primary practice location
300 3Rd Ave SE
Suite 208
Rochester, MN 55904-4619
Mailing address
300 3Rd Ave SE
Suite 208
Rochester, MN 55904-4619
Phone (507) 289-2332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 14, 2020 through Sep 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19502 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1861543274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 3RD AVE SE",
"address_2": "SUITE 208",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559044619",
"telephone_number": "507-289-2332",
"fax_number": "507-289-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 3RD AVE SE",
"address_2": "SUITE 208",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559044619",
"telephone_number": "507-289-2332",
"fax_number": "507-289-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULBULIAN",
"first_name": "RACHEL",
"middle_name": "SARA",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-13",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "19502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.