Individual provider Active NPI

Rachel Frank

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1992152920
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
625 NW Colorado Ave
Bend, OR 97703-3257
Phone
(541) 610-9036
NPI assigned
May 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L8193 OR
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

625 NW Colorado Ave
Bend, OR 97703-3257

Mailing address

20766 NE Sierra Dr
Bend, OR 97701-7174
Phone (541) 610-9036

Other practice location 1

371 SW Upper Terrace Dr Ste 4
Bend, OR 97702-1560
Phone (541) 617-0377

Other identifiers 1

IdentifierTypeStateIssuer
1992152920OtherORINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2023 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L8193ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel L Frank LLC Clinical CurrentSince May 16, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1992152920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20766 NE SIERRA DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017174",
            "telephone_number": "541-610-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 NW COLORADO AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033257",
            "telephone_number": "541-610-9036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 SW Upper Terrace Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977021560",
            "country_code": "US",
            "telephone_number": "541-617-0377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANK",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8193",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1992152920",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.