Angela Rackstraw, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17212 Issued in MN

Practice address

7650 Currell Blvd Ste 305
Woodbury, MN 55125-2257

Phone

(651) 964-9293

NPI assigned

Mar 10, 2016

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Serendipity Counseling Services, LLC

  • Clinical Social Worker
  • Woodbury, MN
  • NPI 1437741964
  NPD Authorized official
• RC Counseling Services

  • Mental Health Counselor
  • Woodbury, MN
  • NPI 1720590649
  NPD (past)

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1700247350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 CURRELL BLVD STE 305",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252257",
            "telephone_number": "651-964-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 CURRELL BLVD STE 305",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252257",
            "telephone_number": "651-964-9293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1063 Weir Dr",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252102",
            "country_code": "US",
            "telephone_number": "651-964-9293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACKSTRAW",
        "first_name": "ANGELA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "17212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette Pumarlo
• Kathleen Therese Puttmann, MD
• Bernard R Quebral, MD
• Kelsey Elizabeth Quick
• Susan J. Quick, M.D.
• Tatjana Radinkovic, LADC
• Grace Radtke
• Maria I. Raines, CNS
• Vicki Lynn Raitor, D.D.S.
• Poonam Raje, MBBS

• Clinical Social Worker in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.