Active NPI
Rachel Anne Wilson, MSW, LSW, ACSW, QCSW
- Social Worker
- Venetia, PA
National Provider Identifier
1962543918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW010689L
- Practice address
- 110 Fulton Dr
Venetia, PA 15367-1013 - Phone
- (724) 941-8068
- Fax
- (724) 941-8068
- NPI assigned
- Feb 12, 2007
- 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 | SW010689L | PA | Primary |
Addresses
Primary practice location
110 Fulton Dr
Venetia, PA 15367-1013
Mailing address
110 Fulton Dr
Venetia, PA 15367-1013
Phone (724) 941-8068
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 |
|---|---|---|---|
| SW010689L | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson Consulting, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Exclusive Provider Organization
- Venetia, PA
- NPI 1477002152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962543918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 FULTON DR",
"city": "VENETIA",
"state": "PA",
"postal_code": "153671013",
"telephone_number": "724-941-8068",
"fax_number": "724-941-8068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 FULTON DR",
"city": "VENETIA",
"state": "PA",
"postal_code": "153671013",
"telephone_number": "724-941-8068",
"fax_number": "724-941-8068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "RACHEL",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "MSW, LSW, ACSW, QCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW010689L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Venetia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.