Look up the most recent NPI and PECOS records

Karen Rachelle

Social Worker

Behavioral Health & Social Service Providers

5000 W National Ave, Milwaukee, WI 53295

(414) 384-2000 (727) 398-6661

PECOS Enrollment

Based on the most recent information from CMS, provider Karen Rachelle does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1124545322
Provider Type
Individual
Full Name
Rachelle, Karen
Credential
SOCIAL WORKER

Gender
Female
Sole Proprietor
No
Enumeration Date
8/28/2017
Last Updated
5/23/2023

Contact Information

Practice Location

5000 W National Ave, Milwaukee, WI 53295

(414) 384-2000

Unlisted Fax

Mailing Location

10000 Bay Pines Blvd, Bay Pines, FL 33744-8200

(727) 398-6661

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 10157-123 Wisconsin

Provider Identifiers

ID	Description	Issuer
ID 10157-123	Description Other	Issuer LCSW Wisconsin

Karen Rachelle

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Gage, Karen Sue

Liska, Meagan

Ungerleider, Krista Kay

Covell, Janeen B

Karrasch-Prenzlow, Linda Marie

Underhill, Kelly Kathleen

Smith, Paul M

Drall, Linda Marie

Carlson, Richard

O'Brien-Frigo, Marian