Rachel a. Lackovic, LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017250 Issued in PA

Legal business name

RACHEL A. LACKOVIC, LCSW LLC

Practice address

807 W 26TH St
Suite 3
Erie, PA 16508-3205

Phone

(814) 873-5206

Fax

(814) 461-0235

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel Lackovic, LCSWNPI 1255620449

Title

Ceo

Phone

(814) 873-5206

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Lackovic, LCSW

  • Clinical Social Worker
  • Erie, PA
  • NPI 1255620449
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1912366782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 W 26TH ST",
            "address_2": "SUITE 3",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165083205",
            "telephone_number": "814-873-5206",
            "fax_number": "814-461-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 W 26TH ST",
            "address_2": "SUITE 3",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165083205",
            "telephone_number": "814-873-5206",
            "fax_number": "814-461-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL A. LACKOVIC, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "LACKOVIC",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-873-5206",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Quivey, D.M.D.
• R & B Bennett Enterprises, Inc
• Ashley Marie Rabell, OTR/L
• Carlos Julio Racedo Africano, MD
• Erica Racedo
• Elizabeth Robin Raco, LCSW
• Marsha C Racop
• Joseph William Radachy, DO
• Stephen T Radack III, DMD
• Debora J Radder, MD

• Clinical Social Worker in Erie, PA
• Providers in Erie, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.