Rachael Leah Radis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS28149 Issued in CA

Practice address

1619 Santa Monica Blvd
Santa Monica, CA 90404-1807

Phone

(310) 392-5855

Fax

(310) 453-4817

NPI assigned

Mar 19, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Step Up on Second Street, Inc.

  • Community/Behavioral Health Agency
  • Santa Monica, CA
  • NPI 1649309469
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1932223286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041807",
            "telephone_number": "310-392-5855",
            "fax_number": "310-453-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADIS",
        "first_name": "RACHAEL",
        "middle_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS28149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Madel Speech Therapy Inc
• Alice Kanani Rad, RDMS , RDCS
• Jessica Rad, DAOM, L.AC
• Rebecca Rada, DO
• Estreniah Radcliffe
• Nan Radulovic, LCSW
• Jourak Rick Rafael, DPT, OCS, CSCS
• Raffi Tachdjian, MD a Medical Corporation
• Raffy Karamanoukian MD Inc.
• Asim Rafique, MD

• Clinical Social Worker in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.