Kelly Alexis Rathmann, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW28796 Issued in CA

Practice address

3650 Standish Avenue
Santa Rosa, CA 95407

Phone

(707) 695-6427

NPI assigned

Jan 29, 2009

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1326286295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043202",
            "telephone_number": "707-695-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 STANDISH AVENUE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95407",
            "telephone_number": "707-695-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHMANN",
        "first_name": "KELLY",
        "middle_name": "ALEXIS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW28796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashidi Medical Corporation
• Mahmoud Rashidi-Naimabadi, MD
• Alicia Louise Rasmussen
• Jennifer V Ratcliffe, M.D., PH.D
• Jesse Earl Rathbun Jr., M.D.
• Brittany Leigh Ratiani, LMFT
• Lauren M Ratiani, FNP-BC
• Mondhipa Ratnarathorn, MD
• Jane Rattanavilay
• Kyla May Rauh

• Clinical Social Worker in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.