Individual provider Active NPI

Rachel Ingalsbe, LLMSW

  • Social Worker
  • Cheboygan, MI
National Provider Identifier
1538829916
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851107829 Issued in MI
Practice address
740 S Main St FL 2
Cheboygan, MI 49721-2220
Phone
(231) 627-7118
Fax
(231) 363-1822
NPI assigned
Dec 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6851107829 MI Primary

Addresses

Primary practice location

740 S Main St FL 2
Cheboygan, MI 49721-2220

Mailing address

1035 W Washington Ave
Alpena, MI 49707-2929
Phone (316) 277-1182

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
I20220930002436 MI Practitioner - Clinical Social Worker 7012393895 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851107829MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alcona Citizens for Health, Inc. CurrentSince Sep 20, 2022 Accepting new patients
Alcona Citizens for Health, Inc. CurrentSince Sep 20, 2022 Accepting new patients

Locations

1035 W Washington Ave
Alpena, MI 49707

740 S Main St
Fl 2
Cheboygan, MI 49721
Phone (231) 627-7118

177 N Barlow Rd
Harrisville, MI 48740
Phone (989) 736-3020

Interoperability endpoints

  • Direct secure messaging: rachel.ingalsbe.p1@direct.alcona.nextgenshare.com

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": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1538829916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W WASHINGTON AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072929",
            "telephone_number": "316-277-1182",
            "fax_number": "231-363-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S MAIN ST FL 2",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212220",
            "telephone_number": "231-627-7118",
            "fax_number": "231-363-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGALSBE",
        "first_name": "RACHEL",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851107829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

Verify at the official NPI Registry.