Individual provider Active NPI

Rachel Marie McClure, LMSW

  • Clinical Social Worker
  • Walker, MI
National Provider Identifier
1306288477
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095397 Issued in MI
Practice address
528 Hampton LN NW
Apt 2a
Walker, MI 49534-7808
Phone
(231) 590-3297
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1444 Michign St NE
Suite 7
Grand Rapids, MI 49503-2028
Phone (616) 259-4548

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
I20160404000095 MI Practitioner - Clinical Social Worker 0042517211 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801095397MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Therapy PLLC CurrentSince Feb 2, 2021 Accepting new patients

Locations

1444 Michigan St NE
Ste 7
Grand Rapids, MI 49503
Phone (248) 894-8421

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801095397 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

528 Hampton LN NW
Apt 2a
Walker, MI 49534-7808

Mailing address

528 Hampton LN NW
Apt 2a
Walker, MI 49534-7808
Phone (231) 590-3297

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 22, 2016.

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1306288477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 HAMPTON LN NW",
            "address_2": "APT 2A",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495347808",
            "telephone_number": "231-590-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 HAMPTON LN NW",
            "address_2": "APT 2A",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495347808",
            "telephone_number": "231-590-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, MI

Sources for this page

Verify at the official NPI Registry.