Individual provider Active NPI

Rachel Vaughn-Ratliff, LMSW

  • Clinical Social Worker
  • Jackson, MI
National Provider Identifier
1447264635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801080552 Issued in MI
Practice address
1522 Joy Ave
Jackson, MI 49203-1933
Phone
(517) 782-2551
Fax
(517) 783-1986
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801080552 MI Primary

Addresses

Primary practice location

1522 Joy Ave
Jackson, MI 49203-1933

Mailing address

1522 Joy Ave
Jackson, MI 49203-1933

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
I20040319001009 MI Practitioner - Clinical Social Worker 4789574807 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
Patricia J Lafave P H D and Associates P CGroup PAC ID 3577512565, 9 clinicians

Practice addresses (Care Compare)

3101 Spring Arbor Rd
Suite 100
Jackson, MI 49203-3799
Phone (517) 782-2442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia J Lafave P H D & Associates P C Social Worker CurrentSince Nov 1, 2021 Accepting new patients
Catholic Charities of Jackson, Lenawee and Hillsdale Counties PastSince Apr 1, 2008 Accepting new patients

Locations

3101 Spring Arbor Rd
Ste 100
Jackson, MI 49203
Phone (517) 782-2442

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447264635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 JOY AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 JOY AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031933",
            "telephone_number": "517-782-2551",
            "fax_number": "517-783-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN-RATLIFF",
        "first_name": "RACHEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801080552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.