Healthcare Provider Details

I. General information

NPI: 1346044534
Provider Name (Legal Business Name): RACHEL ANN AHART LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 DARTTS XRD
SPENCER NY
14883-9410
US

IV. Provider business mailing address

198 NEWMAN RD
NEWARK VALLEY NY
13811-1316
US

V. Phone/Fax

Practice location:
  • Phone: 607-589-7140
  • Fax:
Mailing address:
  • Phone: 585-204-0586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number096168-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number102556-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: