Caleb Daniel Rackley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S35329 Issued in TX

Practice address

3800 Paluxy Dr Ste 240
Tyler, TX 75703-1667

Phone

(903) 283-8729

Fax

(888) 454-9083

NPI assigned

Jan 1, 2019

Last updated

May 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

• Bridge Therapeutic Services PLLC

  • Clinical Social Worker
  • Tyler, TX
  • NPI 1174006084
  NPD (past)
• Nancy G. Mayer

  dba Receiving the Gift

  • Professional Counselor
  • Tyler, TX
  • NPI 1336555499
  NPD (past)

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

{
    "created_epoch": "1546300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1225500218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 MASTERS CIR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757016669",
            "telephone_number": "903-565-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 PALUXY DR STE 240",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031667",
            "telephone_number": "903-283-8729",
            "fax_number": "888-454-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACKLEY",
        "first_name": "CALEB",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-01",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S35329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R Anton Lester Jr & Associates (West Houston Family Clinic)
• R-Uth Children and Family Services
• R2 Partners, LP (Direct RehabMed)
• Todd Martin Raabe, MD
• Abdullah Khalid Rabah, MD
• Craig Michael Radford, M.D.
• Radiant Medical Clinic of East Texas LLC (Radience Wound Care)
• Alessandro Radighieri, MD
• Raf Med LLC
• Ragsdale & Martin Optical, Inc

• Clinical Social Worker in Tyler, TX
• Providers in Tyler, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.