Individual provider Active NPI

Rachael M. Rividelli, LICSW

  • Clinical Social Worker
  • Greenfield, MA
National Provider Identifier
1902813538
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1021496 Issued in MA
Practice address
55 Federal St
Greenfield, MA 01301-2546
Phone
(413) 584-6855
Fax
(413) 585-1355
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1021496 MA Primary

Addresses

Primary practice location

55 Federal St
Greenfield, MA 01301-2546

Mailing address

55 Pleasant St Apt 8
Granby, MA 01033-9789
Phone (413) 427-1002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090914000713 MA Practitioner - Clinical Social Worker 0749336923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Servicenet IncGroup PAC ID 6901797950, 53 clinicians

Practice addresses (Care Compare)

55 Federal St
Greenfield, MA 01301-2546
Phone (413) 772-2935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1021496MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc CurrentSince Jul 1, 2016 Accepting new patients
Riverbend Medical Group, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Locations

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

395 Southampton Rd
Ste 100
Westfield, MA 01085
Phone (413) 485-4661

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1902813538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PLEASANT ST APT 8",
            "city": "GRANBY",
            "state": "MA",
            "postal_code": "010339789",
            "telephone_number": "413-427-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FEDERAL ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012546",
            "telephone_number": "413-584-6855",
            "fax_number": "413-585-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVIDELLI",
        "first_name": "RACHAEL",
        "middle_name": "M.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1021496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.