Individual provider Active NPI

Melanie D. Rakushin, MSW LISW-S

  • Clinical Social Worker
  • Oxford, OH
National Provider Identifier
1568917185
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1302035-SUPV Issued in OH
Practice address
10 N Locust St
Oxford, OH 45056-1192
Phone
(513) 454-1111
Fax
(513) 280-5085
NPI assigned
Aug 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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 I.1302035-SUPV OH Primary

Addresses

Primary practice location

10 N Locust St
Oxford, OH 45056-1192

Mailing address

PO Box 837
Hamilton, OH 45012-0837
Phone (513) 454-1111

Other identifiers 1

IdentifierTypeStateIssuer
0188547MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melanie.rakushin.p5@direct.phs.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160914002210 OH Practitioner - Clinical Social Worker 1153617329 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1302035-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Butler County Community Health Consortium Inc Current Accepting new patients
Butler County Community Health Consortium, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Butler County Community Health Consortium, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Butler County Community Health Consortium, Inc. Past Accepting new patients
Butler County Community Health Consortium, Inc. Past Accepting new patients

Locations

300 High St
Fl 4
Hamilton, OH 45011
Phone (513) 454-1460

210 S 2nd St
Hamilton, OH 45011
Phone (513) 892-1888

210 S 2nd St
Ste 2
Hamilton, OH 45011
Phone (513) 454-1460

10 N Locust St
Ste A
Oxford, OH 45056
Phone 5134541111 ext. 41111

Interoperability endpoints

  • Direct secure messaging: melanie.rakushin.p5@direct.myprimaryhealth.nextgenshare.com

Organizations & group practices 6

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1568917185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450120837",
            "telephone_number": "513-454-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N LOCUST ST",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561192",
            "telephone_number": "513-454-1111",
            "fax_number": "513-280-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKUSHIN",
        "first_name": "MELANIE",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "MSW LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1302035-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0188547",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melanie.rakushin.p5@direct.phs.nextgenshare.com",
            "affiliation": "N",
            "address_1": "10 N Locust St",
            "city": "Oxford",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450561192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

Verify at the official NPI Registry.