Jeri Joan McLeod-Rabchenuk, LICSW CLINICAL SOCIA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

101276 Issued in MA

Practice address

140 Commonwealth Avenue
Ste 202 Catholic Charities
Danvers, MA 01923

Phone

(978) 774-6820

Fax

(978) 777-4242

NPI assigned

Sep 7, 2006

Last updated

Aug 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jeri McLeod Rabchenuk Former name

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

Specialty

Clinical Social Worker

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Catholic Charitable Bureau of the Archdiocese of Boston, Inc.Group PAC ID 3577471051, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Catholic Charitable Bureau of the Archdiocese of Boston, Inc.

  dba Catholic Charities FCGC

  • Community/Behavioral Health Agency
  • South Boston, MA
  • NPI 1003979014
  Medicare reassignment Care Compare group NPD
• Catholic Charitable Bureau of the Archdiocesse of Boston, Inc. Dba

  dba Laboure Center Visiting Nurse Service

  • Home Health Agency
  • South Boston, MA
  • NPI 1093723652
  NPD

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1912001371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COMMONWEALTH AVENUE",
            "address_2": "STE 202",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-774-6820",
            "fax_number": "978-777-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COMMONWEALTH AVENUE",
            "address_2": "STE 202 CATHOLIC CHARITIES",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-774-6820",
            "fax_number": "978-777-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD-RABCHENUK",
        "first_name": "JERI",
        "middle_name": "JOAN",
        "credential": "LICSW CLINICAL SOCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "101276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERI",
            "last_name": "MCLEOD RABCHENUK",
            "credential": "LICSW CLINICAL SOCIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James F McIntyre, MD
• Michelle McKiernan
• Rachel Elizabeth McKinnon, B.A.
• Meghan E McLaughlin
• Sierra McLear
• Thomas William McMahon, M.S.W.
• Lauren Diana McManus
• Meghan Elizabeth McManus, RN
• Meghan McNamara
• Allison Nicole McNeill

• Professional Counselor in Danvers, MA
• Providers in Danvers, MA by specialty
• Professional Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.