Rachel Jividen, LMSW
NPI 1053700211ActiveIndividual· Social Worker, Clinical· Elmira, NY
Social Worker, Clinical (LMSW) with Renew Counseling Practicing Licensed Clinical Social Work PLLC, practicing in Elmira, New York. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1053700211 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW |
| Sole proprietor | No |
| NPI issued | Jan 12, 2015 |
| Last updated in NPPES | Nov 18, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 096645-1 | NY |
| Counselor | 101Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NY) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Renew Counseling Practicing Licensed Clinical Social Work PLLCCorning, NY · 5 clinicians
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All 100 clinical social workers in Elmira · All clinical social workers in New York