Active NPI
Raychelle Myrick, LSW
- Social Worker
- Cincinnati, OH
National Provider Identifier
1194241745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2347 Vine St
Cincinnati, OH 45219-1745 - Phone
- (513) 440-3866
- NPI assigned
- Aug 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2347 Vine St
Cincinnati, OH 45219-1745
Mailing address
218 Valley St # B
Richmond, KY 40475-2912
Phone (859) 322-9646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215242631 | Medicaid | KY |
Other names 1
- Raychelle Myrick
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1194241745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 VALLEY ST # B",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752912",
"telephone_number": "859-322-9646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2347 VINE ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452191745",
"telephone_number": "513-440-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYRICK",
"first_name": "RAYCHELLE",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215242631",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RAYCHELLE",
"last_name": "MYRICK",
"credential": "LSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.