Rachelle M Henkel, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19279 Issued in MN

Practice address

7525 Village Dr Ste 130
Lino Lakes, MN 55014-1305

Phone

(715) 220-8743

NPI assigned

May 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rachelle M Erdman Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Beacon of Strength Mental Health Services, LLC

  • Community/Behavioral Health Agency
  • Duluth, MN
  • NPI 1891418406
  Medicare reassignment NPD
• Canvas Health, Inc.

  • Mental Health Counselor
  • Oakdale, MN
  • NPI 1922051325
  Medicare reassignment NPD

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1972186013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11394 LEAH CT",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139727",
            "telephone_number": "715-220-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 VILLAGE DR STE 130",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141305",
            "telephone_number": "715-220-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKEL",
        "first_name": "RACHELLE",
        "middle_name": "M",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "7525 Village Dr Ste 130",
            "city": "Lino Lakes",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550141305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHELLE",
            "last_name": "ERDMAN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kate Olivia Hanson, MA, CF-SLP
• Kevin Hanson
• Trish Marie Haro, PTA
• Health Path Chiropractic and Wellness Center
• Karissa Kay Heck, LPCC
• Joyce Marie Hennes, OTR/L
• Jennifer Briley Brown Holloway, MA, LPCC
• Victoria Holmquist
• Carlee Cheyenne Huesman, RN-BSN, DNP, FNP-C
• Emily Jane Iniguez, OTR/L

• Clinical Social Worker in Lino Lakes, MN
• Providers in Lino Lakes, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.