RACHEL DALTON LMSW
NPI 1356983019
Social Worker - Clinical in Plainville, CT

Active since October 15, 2019PECOS EnrolledAccepts Medicare Assignment
74 EAST ST, PLAINVILLE, CT 06062(860) 418-9976 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 7, 2021, Oct 15, 2019 (2 updates tracked since 2019).

About Rachel Dalton Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RACHEL DALTON LMSW (NPI 1356983019) is an individual clinical provider in Plainville, Connecticut, licensed in Connecticut (011116) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1356983019
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRACHEL DALTONCredential: LMSW
Location Address74 EAST STPlainville, CT 06062-2367
Mailing Address94 Hosier RdPlymouth, CT 06782-2706 · (860) 480-3132
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 15, 2019
Last NPPES UpdateJune 7, 20212 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
✔ NPI 1356983019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 011116
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
74 EAST ST, Plainville, CT 06062

Other Names 1

Former Name (1)Rachel Terino

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel Dalton Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103235353
PECOS Enrollment IDI20210429001871
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Rachel Dalton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
91 NORTHWEST DRIVE
Plainville, CT 06062
  • Reassigned Medicare billing, Connecticut enrollment
  • 217 clinicians in this Medicare group
Primary Care
469 MIGEON AVE
Torrington, CT 06790
  • Reassigned Medicare billing, Connecticut enrollment
  • 48 clinicians in this Medicare group
Psychiatry
207 STORRS RD
Mansfield Center, CT 06250
  • Reassigned Medicare billing, Connecticut enrollment
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
74 EAST ST
PLAINVILLE, CT 06062
Social Worker
74 EAST ST
PLAINVILLE, CT 06062
Social Worker (Clinical)
74 EAST ST
PLAINVILLE, CT 06062
Psychiatry & Neurology (Psychiatry)
74 EAST ST, SUITE 304
PLAINVILLE, CT 06062
Social Worker
74 EAST ST
PLAINVILLE, CT 06062
Counselor
74 EAST ST
PLAINVILLE, CT 06062
Social Worker
74 EAST ST
PLAINVILLE, CT 06062
Social Worker (Clinical)
74 EAST ST
PLAINVILLE, CT 06062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rachel Dalton's NPI number?

The NPI number for Rachel Dalton is 1356983019. It was assigned to this individual provider in the NPPES registry on October 15, 2019. The provider is also known as Rachel Terino.

Where is Rachel Dalton located?

Rachel Dalton practices at 74 East St, Plainville, CT 06062. The listed phone number is (860) 418-9976.

What is Rachel Dalton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Rachel Dalton enrolled in Medicare?

Yes. Rachel Dalton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Rachel Dalton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Dalton reassigns Medicare benefits to 3 organizations: Wheeler Clinic Inc (Plainville, CT), Community Health And Wellness Center Of Greater Torrington Inc (Torrington, CT) and Mansfield Mental Health And Addiction Medicine (Mansfield Center, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachel Dalton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Dalton accept?

Health plans from Anthem Blue Cross and Blue Shield list Rachel Dalton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rachel Dalton was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.