Provider Demographics
NPI:1629534839
Name:RACHEL SIEGEL-JOFFE LCSW PLLC
Entity Type:Organization
Organization Name:RACHEL SIEGEL-JOFFE LCSW PLLC
Other - Org Name:RACHEL SIEGEL-JOFFE LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER- PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SIEGEL-JOFFE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:631-261-1717
Mailing Address - Street 1:18 KIPLING DR
Mailing Address - Street 2:
Mailing Address - City:GREENLAWN
Mailing Address - State:NY
Mailing Address - Zip Code:11740-2700
Mailing Address - Country:US
Mailing Address - Phone:917-916-9970
Mailing Address - Fax:631-261-1717
Practice Address - Street 1:535 BROADHOLLOW RD STE B32
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3714
Practice Address - Country:US
Practice Address - Phone:917-916-9970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-12
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNONEOtherAARP UNITED HEALTH CARE
WINONEOtherTRI CARE
NY03213816Medicaid
NY1459100OtherBEACON HEALTH STRATEGIES
UTNONEOtherOPTUM BEHAVIORAL HEALTH
GANONEOtherUNITED HEALTH CRAE
NYNONEOtherAETNA MEDICARE
NYNONEOtherMAGNA CARE
NY5200775OtherCIGNA BEHAVIORAL HEALTH
NYNONEOtherSIEBA- MAGNACARE
NY11315OtherFIDELIS
NYNONEOtherHEALTH FIRST
NYNONEOtherEMBLEM HEALTH- GHI
ARNONEOtherOXFORD
NYNONEOtherFIDELIS
NY741952OtherVALOP
NYNONEOtherGLOBE LIFE INSURANCE COMPANY