RACHEL PRENDERGAST LCSW – NPI #1447012612
Social Worker

RACHEL PRENDERGAST is a social worker located in MELBOURNE, FL. NPPES recently assigned the NPI number 1447012612 to RACHEL PRENDERGAST on January 24, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 1041C0700X from the Health Care Provider Taxonomy code set, which is classified as Social Worker specializing in Clinical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RACHEL PRENDERGAST below.

NPI Profile for
RACHEL PRENDERGAST

NPI Number
1447012612
Created

(about 5 weeks ago)
Entity Type
Type-1  Individual (Female)
Legal Name
RACHEL PRENDERGAST
Credentials
LCSW
Primary location
3018 CORTONA DR
MELBOURNE, FL 32940-8609
Phone: (727) 656-2502 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jan 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1041C0700X
- Social Worker / Clinical (Primary)
FL SW11582
171400000X
- Health & Wellness Coach
10925949

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.