Rhea L Vacha, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

129639-121 Issued in WI

Practice address

30 W Mifflin St Ste 502
Madison, WI 53703-2589

Phone

(608) 513-9637

NPI assigned

Mar 17, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rhea L Ellestad Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1700279619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 CRESTHAVEN DR",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535279677",
            "telephone_number": "608-513-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W MIFFLIN ST STE 502",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032589",
            "telephone_number": "608-513-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACHA",
        "first_name": "RHEA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9393-123",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "129639-121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700279619",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHEA",
            "last_name": "ELLESTAD",
            "middle_name": "L",
            "credential": "CAPSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Uw Health
• Bradley Shogo Uyemura
• Renee M Uzobuihe, APNP
• VA Hospital
• Kenyatta Brigchelle Vaccaro
• Sophia Vainrub
• Babak Vakili, MD
• Ann M Valder, M.D., PH.D.
• Isabella Valdes Gillspie
• Ricardo A. Valdez, APSW

• Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.