Active NPI
Anna S Rickell, MS
- Social Worker
- Spartanburg, SC
National Provider Identifier
1275608135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8471
- Practice address
- 210 N Radcliff Way
Spartanburg, SC 29301-5389 - Phone
- (914) 714-3816
- Fax
- (864) 541-7286
- NPI assigned
- Nov 22, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | PR0269521 | NY | |
| Social Worker | 104100000X | 12432 | MD | |
| Social Worker | 104100000X | 8471 | SC | Primary |
Addresses
Primary practice location
210 N Radcliff Way
Spartanburg, SC 29301-5389
Mailing address
210 N Radcliff Way
Spartanburg, SC 29301-5389
Phone (914) 714-3816
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q349420281 | Other | SC | MEDICARE |
| 138773 | Other | MD | MEDICARE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR0269521 | NY | MD | Social Worker |
| 026952 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anna S Rickell LCSW PC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Spartanburg, SC
- NPI 1427310291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1275608135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N RADCLIFF WAY",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293015389",
"telephone_number": "914-714-3816",
"fax_number": "864-541-7286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N RADCLIFF WAY",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293015389",
"telephone_number": "914-714-3816",
"fax_number": "864-541-7286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKELL",
"first_name": "ANNA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "PR0269521",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "12432",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "8471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Q349420281",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "138773",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.