Active NPI
Teri Mae Rickaby, LMSW
- Clinical Social Worker
- Mason, MI
National Provider Identifier
1154766608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 566 N Cedar St
Mason, MI 48854-1033 - Phone
- (517) 676-2461
- Fax
- (517) 676-3265
- NPI assigned
- May 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
566 N Cedar St
Mason, MI 48854-1033
Mailing address
812 E Jolly Rd Ste 311
Lansing, MI 48910-6825
Phone (517) 346-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H02073537 | Other | MI | HEALTHPLUS |
Other names 1
- Teri M Gruett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
812 E Jolly Rd
Lansing, MI 48910-6821
Phone (517) 346-8410
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lansing, MI
- NPI 1265483457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1154766608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 E JOLLY RD STE 311",
"city": "LANSING",
"state": "MI",
"postal_code": "489106825",
"telephone_number": "517-346-8200",
"fax_number": "517-346-8291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 N CEDAR ST",
"city": "MASON",
"state": "MI",
"postal_code": "488541033",
"telephone_number": "517-676-2461",
"fax_number": "517-676-3265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKABY",
"first_name": "TERI",
"middle_name": "MAE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-09",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "H02073537",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERI",
"last_name": "GRUETT",
"middle_name": "M",
"credential": "LLMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mason, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.