Individual provider Active NPI

Rachel Scullion, LMSW

  • Clinical Social Worker
  • Grandville, MI
National Provider Identifier
1235676818
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801116790 Issued in MI
Practice address
4370 Chicago Dr SW # 515
Grandville, MI 49418-1694
Phone
(616) 287-2283
NPI assigned
Jan 20, 2017
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801116790 MI Primary
Clinical Social Worker 1041C0700X 6801098872 MI
Case Manager/Care Coordinator 171M00000X 15152 LA

Addresses

Primary practice location

4370 Chicago Dr SW # 515
Grandville, MI 49418-1694

Mailing address

20411 W 12 Mile Rd Ste 101
Southfield, MI 48076-6404
Phone (866) 703-1901

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230920000723 MI Practitioner - Clinical Social Worker 3971967266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suppression Expression Counseling, LLCGroup PAC ID 2365801933, 3 clinicians

Practice addresses (Care Compare)

4370 Chicago Dr SW
Suite 515
Grandville, MI 49418-1694
Phone (616) 287-2283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801098872MIMDClinical Social Worker
15152LAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lainie Epstein PLLC CurrentSince Nov 1, 2021 Accepting new patients
Suppression Expression Counseling, LLC CurrentSince Aug 19, 2023 Accepting new patients

Locations

4370 Chicago Dr SW
#515
Grandville, MI 49418
Phone (616) 287-2283

4370 Chicago Dr SW
Ste 515
Grandville, MI 49418

20411 W 12 Mile Rd
Ste 101
Southfield, MI 48076
Phone (248) 354-1888

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1235676818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20411 W 12 MILE RD STE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766404",
            "telephone_number": "866-703-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 CHICAGO DR SW # 515",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181694",
            "telephone_number": "616-287-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLION",
        "first_name": "RACHEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2023-12-22",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116790",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098872",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "15152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

Verify at the official NPI Registry.