Jay M Ratia, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007223 Issued in NC

Practice address

4509 Creedmoor Rd Ste 201
Raleigh, NC 27612-3813

Phone

(984) 999-1213

Fax

(877) 673-1424

NPI assigned

Jun 9, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ratia Revolution PLLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1326745704
  NPD Authorized official
• Big Holdings Inc

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1255634796
  NPD (past)
• Big Holdings Inc

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1598996308
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1053606814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 BOWDEN DR",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275228828",
            "telephone_number": "919-529-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 CREEDMOOR RD STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123813",
            "telephone_number": "984-999-1213",
            "fax_number": "877-673-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATIA",
        "first_name": "JAY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Ratchford, RBT
• Kayleigh Elizabeth Rathbun, PT, DPT
• Dhrupa Dilipsinh Rathod, CRNP
• David James Rathvon, PA-C
• Ratia Revolution PLLC
• Michael Shane Ratliff Jr.
• Mary Katherine Ratterree
• Elizabeth Rattle, PA-C
• Amy Rauch, PSYD
• Meghan Sabba Hall Rauen, LPCA/NCC

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.