Individual provider Active NPI

Rachael Anna Krefman-Castellon, LMSW

  • Social Worker
  • Brighton, MI
National Provider Identifier
1619221306
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801092018 Issued in MI
Practice address
711 E Grand River Ave Ste a
Brighton, MI 48116-2474
Phone
(269) 873-5966
NPI assigned
Nov 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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 6801092018 MI Primary

Addresses

Primary practice location

711 E Grand River Ave Ste a
Brighton, MI 48116-2474

Mailing address

PO Box 854
Okemos, MI 48805-0854
Phone (269) 873-5966

Other names 1

  • Rachael Anna Krefman Former name

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
I20150626000769 MI Practitioner - Clinical Social Worker 9638481039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

711 E Grand River Ave
Suite a
Brighton, MI 48116-2474
Phone (269) 873-5966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meaningful Life Therapy Services LLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

711 E Grand River Ave
Ste A
Brighton, MI 48116
Phone (248) 302-0123

Organizations & group practices 1

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": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1619221306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 854",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488050854",
            "telephone_number": "269-873-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E GRAND RIVER AVE STE A",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162474",
            "telephone_number": "269-873-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREFMAN-CASTELLON",
        "first_name": "RACHAEL",
        "middle_name": "ANNA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801092018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "KREFMAN",
            "middle_name": "ANNA",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.