Individual provider Active NPI

Rachel J Ridge, LCSW MS

  • Clinical Social Worker
  • Frankfort, IL
National Provider Identifier
1255305330
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149012691 Issued in IL
Practice address
10217 W Lincoln Hwy
Frankfort, IL 60423-1279
Phone
(815) 806-7560
NPI assigned
Feb 15, 2006
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149012691 IL Primary

Addresses

Primary practice location

10217 W Lincoln Hwy
Frankfort, IL 60423-1279

Mailing address

11885 Elise Blvd
Frankfort, IL 60423-7989
Phone (708) 269-1516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240328003572 IL Practitioner - Clinical Social Worker 4183062979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platt Professional Counseling LLCGroup PAC ID 3971997735, 12 clinicians

Practice addresses (Care Compare)

10217 W Lincoln Hwy
Frankfort, IL 60423-1279
Phone (708) 269-1516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
149012691ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Platt Professional Counseling, LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

10217 W Lincoln Hwy
Frankfort, IL 60423
Phone (708) 269-1516

10221 W Lincoln Hwy
Frankfort, IL 60423
Phone (815) 806-7560

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, 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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1255305330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11885 ELISE BLVD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604237989",
            "telephone_number": "708-269-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10217 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231279",
            "telephone_number": "815-806-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGE",
        "first_name": "RACHEL",
        "middle_name": "J",
        "credential": "LCSW MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.