Mark Ratzlaff, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004017 Issued in VA

Practice address

108 5TH St SE
Ste 211
Charlottesville, VA 22902-5284

Phone

(434) 249-0029

Fax

(888) 538-2901

NPI assigned

Apr 7, 2015

Sex

Male

Sole proprietor

Yes

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

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1477949329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 5TH ST SE",
            "address_2": "STE 211",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025284",
            "telephone_number": "434-249-0029",
            "fax_number": "888-538-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 5TH ST SE",
            "address_2": "STE 211",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025284",
            "telephone_number": "434-249-0029",
            "fax_number": "888-538-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATZLAFF",
        "first_name": "MARK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ratakonda, MD
• Nicola L. Ratcliffe, M.ED.
• Catherine R. Ratliff, G.N.P.
• Seth Ratliff
• Alexandrine M Ratnani, MD
• Jessica Marie Rausch, MSW LCSW
• Gauri Rajendra Raval, M.D.
• Joshua Robert Ravicz
• Abhijit M Ravindran, MD
• Udit Rawat, M.D.

• Clinical Social Worker in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.