Active NPI
Rachel F Sudore, LMSW
- Social Worker
- Herkimer, NY
National Provider Identifier
1871185249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 102705
- Practice address
- 417 E German St
Herkimer, NY 13350-1028 - Phone
- (518) 232-7789
- NPI assigned
- Feb 8, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 102705 | NY | Primary |
Addresses
Primary practice location
417 E German St
Herkimer, NY 13350-1028
Mailing address
417 E German St
Herkimer, NY 13350-1028
Phone (518) 232-7789
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.thresholdsolutions.org | Threshold Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102705 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1871185249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 E GERMAN ST",
"city": "HERKIMER",
"state": "NY",
"postal_code": "133501028",
"telephone_number": "518-232-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 E GERMAN ST",
"city": "HERKIMER",
"state": "NY",
"postal_code": "133501028",
"telephone_number": "518-232-7789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDORE",
"first_name": "RACHEL",
"middle_name": "F",
"name_prefix": "Miss",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-08",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "102705",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.thresholdsolutions.org",
"affiliation": "Y",
"affiliationName": "Threshold Solutions",
"address_1": "417 E German St Ste 1",
"city": "Herkimer",
"state": "NY",
"country_code": "US",
"postal_code": "133501028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Herkimer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.