Minakshi Ratkalkar, PH.D., LCSW, CST

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 12424 Issued in FL

Practice address

6409 Fayetteville Rd Ste 120-189
Durham, NC 27713-6297

Phone

(215) 882-9949

NPI assigned

Nov 23, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mina Ratkalkar Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 8, 2021 through Sep 8, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• New Spark Therapy PLLC

  • Clinical Psychologist
  • Durham, NC
  • NPI 1134932585
  NPD Authorized official
• Lepage Associates

  • Psychologist
  • Durham, NC
  • NPI 1669977732

  Clinical

  NPD (past)

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612569600000",
    "number": "1144694506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 FAYETTEVILLE RD STE 120-189",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136297",
            "telephone_number": "215-882-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 FAYETTEVILLE RD STE 120-189",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136297",
            "telephone_number": "215-882-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATKALKAR",
        "first_name": "MINAKSHI",
        "credential": "PH.D., LCSW, CST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 12424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINA",
            "last_name": "RATKALKAR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karima Rasheed, PA
• Kendal Rasmussen
• Kaylee Ratcliffe, PA-C
• Jay Krishna Rathinavelu
• Kevin M. Rathke, M.D.
• Azim Rattansi, CO
• Anne-Olivia Raulli, M.D.
• Michael Rauschenbach, MD, PHD
• Sanjana Ravi
• Carl E Ravin

• Clinical Social Worker in Durham, NC
• Providers in Durham, 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 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.