Individual provider Active NPI

Mike Ratigan, LCSW

  • Clinical Social Worker
  • Newcastle, WY
National Provider Identifier
1518013549
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-227 Issued in WY
Practice address
420 Deanne Ave
Newcastle, WY 82701-2936
Phone
(307) 746-4456
Fax
(307) 746-4470
NPI assigned
Jan 25, 2007
Last updated
Oct 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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 LCSW-227 WY Primary

Addresses

Primary practice location

420 Deanne Ave
Newcastle, WY 82701-2936

Mailing address

25090 Highway 85
Newcastle, WY 82701
Phone (307) 746-3609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-227WYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1518013549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25090 HIGHWAY 85",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "82701",
            "telephone_number": "307-746-3609",
            "fax_number": "307-746-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DEANNE AVE",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "827012936",
            "telephone_number": "307-746-4456",
            "fax_number": "307-746-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATIGAN",
        "first_name": "MIKE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newcastle, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.