Individual provider Active NPI

Rachel J Picard

  • Clinical Social Worker
  • Presque Isle, ME
National Provider Identifier
1962627539
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC12287 Issued in ME
Practice address
147 Academy St
Presque Isle, ME 04769-3101
Phone
(207) 764-6825
Fax
(207) 764-6077
NPI assigned
Apr 17, 2007
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC10670 ME
Clinical Social Worker 1041C0700X LC12287 ME Primary

Addresses

Primary practice location

147 Academy St
Presque Isle, ME 04769-3101

Mailing address

147 Academy St
Presque Isle, ME 04769-3101
Phone (207) 764-6825

Other identifiers 1

IdentifierTypeStateIssuer
432391999MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20100113000031 ME Practitioner - Clinical Social Worker 3274674221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Life by Design, PAGroup PAC ID 9032188909, 6 clinicians

Practice addresses (Care Compare)

147 Academy St
Presque Isle, ME 04769-3101
Phone (207) 764-6825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC10670MEMDMental Health Counselor
LC12287MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life by Design, PA Clinical CurrentSince Nov 1, 2009 Accepting new patients
Carlos G. Otis Health Care Center Inc. Past Accepting new patients
Life by Design PastSince Nov 1, 2009 Accepting new patients

Locations

31 Market St
Fort Kent, ME 04743
Phone (207) 436-7027

18 High St
Houlton, ME 04730
Phone (207) 532-9660

39 Court St
Ste 202
Houlton, ME 04730
Phone (207) 267-5855

147 Academy St
Presque Isle, ME 04769
Phone (207) 532-9660

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1962627539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693101",
            "telephone_number": "207-764-6825",
            "fax_number": "207-764-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693101",
            "telephone_number": "207-764-6825",
            "fax_number": "207-764-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICARD",
        "first_name": "RACHEL",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "MC10670",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC12287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432391999",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

Verify at the official NPI Registry.