Active NPIIndividual providerSole proprietor

Courtney P Rault, LCSW

Social Worker, Clinical in Bedford, New York

NPI Number1124641360
Practice location
209 Bedford Banksville RD, Bedford, NY 10506-1918
Fax
—
Last updated
April 4, 2023

Courtney Plank Rault is a Social Worker, Clinical based in Bedford, NY. Courtney Plank Rault practices in Bedford, NY and has the professional credentials of LCSW. The NPI Number for Courtney Plank Rault is 1124641360 and holds a License No. 011885 (CT). The current practice location address for Courtney Plank Rault is 209 Bedford Banksville RD, Bedford, NY 10506-1918 and can be reached out via phone at 617-697-9471.

Provider Profile Details

NPI Number
1124641360
Provider Name
Courtney Plank Rault
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
209 Bedford Banksville RD, Bedford, NY 10506-1918
Phone Number
617-697-9471
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 22, 2020
Last Update Date
April 4, 2023
Certification Date
April 4, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
209 Bedford Banksville RD
Bedford, NY 10506-1918
Zip
10506-1918
Phone Number
617-697-9471
Bedford, NY 10506Get directions →

Provider Business Mailing Address Details

Address
209 Bedford Banksville RD
Bedford, NY 10506-1918
City
Bedford
State
NY
Zip
10506-1918

License Information

License Number (1)
011885
License State (1)
CT
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
103814
License State (2)
NY
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
092028
License State (3)
NY
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Courtney P Rault, LCSW?

The NPI number of Courtney P Rault, LCSW is 1124641360. It was assigned on May 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Courtney P Rault, LCSW?

Courtney P Rault, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 011885.

Where does Courtney P Rault, LCSW practice?

The practice location is 209 Bedford Banksville RD, Bedford, NY 10506-1918. The office can be reached at 617-697-9471 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124641360 directly on the NPPES registry website.

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