Individual provider Active NPI

Rachel Fowke, LCSW LMSW CSAC CAADC

  • Clinical Social Worker
  • Clinton TWP, MI
National Provider Identifier
1215379185
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094943 Issued in MI
Practice address
16950 19 Mile Rd Ste 3H
Clinton TWP, MI 48038-4806
Phone
(586) 651-9324
Fax
(833) 843-7621
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-4130 HI
Clinical Social Worker 1041C0700X 6801094943 MI Primary

Addresses

Primary practice location

16950 19 Mile Rd Ste 3H
Clinton TWP, MI 48038-4806

Mailing address

PO Box 232
Romeo, MI 48065-0232
Phone (586) 651-9324

Other practice location 1

1881 Nani St
Wailuku, HI 96793-1811
Phone (808) 283-0567

Other practice location 2

1819 S Kihei Rd Ste D110
Kihei, HI 96753-7940
Phone (808) 243-3200

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Family Services, Inc Clinical Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/macombfamily/r4/

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": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215379185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "480650232",
            "telephone_number": "586-651-9324",
            "fax_number": "833-843-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16950 19 MILE RD STE 3H",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384806",
            "telephone_number": "586-651-9324",
            "fax_number": "833-843-7621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1881 Nani St",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967931811",
            "country_code": "US",
            "telephone_number": "808-283-0567",
            "fax_number": "808-872-4029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1819 S Kihei Rd Ste D110",
            "address_purpose": "LOCATION",
            "city": "Kihei",
            "state": "HI",
            "postal_code": "967537940",
            "country_code": "US",
            "telephone_number": "808-243-3200",
            "fax_number": "888-238-8697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWKE",
        "first_name": "RACHEL",
        "credential": "LCSW LMSW CSAC CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4130",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.