Individual provider Active NPI

Racquel Roney, LLBSW

  • Case Manager/Care Coordinator
  • Clinton Township, MI
National Provider Identifier
1124458138
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
6802083810 Issued in MI
Practice address
22800 Hall Rd Ste 240
Clinton Township, MI 48036-4805
Phone
(517) 676-5405
NPI assigned
Nov 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 6802083810 MI Primary

Addresses

Primary practice location

22800 Hall Rd Ste 240
Clinton Township, MI 48036-4805

Mailing address

22800 Hall Rd Ste 240
Clinton Township, MI 48036-4805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6802083810MIMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Consumer Services, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1124458138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22800 HALL RD STE 240",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480364805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22800 HALL RD STE 240",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480364805",
            "telephone_number": "517-676-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONEY",
        "first_name": "RACQUEL",
        "credential": "LLBSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6802083810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.