Patricia S Rickenbaker, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C002420 Issued in NC

Practice address

4601 Lake Boone TRL
Suite 2-C
Raleigh, NC 27607-7503

Phone

(919) 539-9650

Fax

(919) 787-6470

NPI assigned

Apr 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.95 of 100Reported as group

Quality

83.15

Promoting interoperability

100

Improvement activities

40

Cost

73.35

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beaufort County Memorial Hospital

  • Internal Medicine Physician
  • Beaufort, SC
  • NPI 1598713117
  Medicare reassignment Care Compare group NPD
• Beaufort County Memorial Hospital

  • Specialist
  • Bluffton, SC
  • NPI 1801020300
  NPD
• Beaufort County Memorial Hospital

  dba Beaufort Memorial Emergency Medicine Physicians

  • Emergency Medicine Physician
  • Beaufort, SC
  • NPI 1871335018
  NPD

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154387470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL",
            "address_2": "SUITE 2-C",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077503",
            "telephone_number": "919-539-9650",
            "fax_number": "919-787-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL",
            "address_2": "SUITE 2-C",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077503",
            "telephone_number": "919-539-9650",
            "fax_number": "919-787-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKENBAKER",
        "first_name": "PATRICIA",
        "middle_name": "S",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richey Fas LLC (Richey and Company Shoes)
• Eternia Sade Richmond
• Tanay Richmond
• Ellen Louise Richter, CCC-SPEECH
• Ricke DDS PLLC (Lake Boone Dentistry)
• Shelly Lynne Rickert, DDS
• Rickert, Watson, & Associates, DDS, PLLC (Healthy Smiles)
• Shauna Mackenzie Rickerts, RN, BSN
• Renee Y. Ricks, MOTR/L
• Anthony L Rico, M.D.

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.