Bree Ricker, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

360 N Oak St
Columbia City, IN 46725-1608

Phone

(260) 249-5432

NPI assigned

Sep 29, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RDR Devine LLCGroup PAC ID 9931515889, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• RDR Devine, LLC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1043828411
  Medicare reassignment Care Compare group
• Brosh Inc

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1164060653
  NPD Authorized official

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576368000000",
    "number": "1508175274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N OAK ST",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251608",
            "telephone_number": "260-249-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N OAK ST",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251608",
            "telephone_number": "260-249-5432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "781 36th St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495482319",
            "country_code": "US",
            "telephone_number": "616-248-5125",
            "fax_number": "616-243-2302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKER",
        "first_name": "BREE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bree@livehealgrow.com",
            "affiliation": "N",
            "endpointDescription": "Work",
            "address_1": "360 N Oak St",
            "city": "Columbia City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467251608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janet S. Prendergast, D.O.
• Professional Emergency Physicians Inc
• Kayla Reimschisel, PT, DPT
• Paige Reinhart, MA
• Francisco J Reyes Martin, M.D.
• Ride With Faith, Inc
• Magdalene Ridenour
• Ava Ringger
• Skye Rittenhouse, MSW
• Brett Isaac Robbins

• Clinical Social Worker in Columbia City, IN
• Providers in Columbia City, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; 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.