Ronald Scott Rathje, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW14880 Issued in FL

Practice address

1825 Gilmore Ave
Lakeland, FL 33805-3017

Phone

(863) 519-0575

Fax

(863) 248-3302

NPI assigned

Sep 20, 2006

Last updated

Nov 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

• R Scott Rathje Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Peace River Center for Personal Development Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lakeland, FL
  • NPI 1538802939
  NPD
• C Jesse Carlock PH D & Associates

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1801994199
  NPD (past)
• Craig D. Olson Psy.D. & Associates, LLC

  • Psychologist
  • Centerville, OH
  • NPI 1811261647
  NPD (past)
• Sharon D Brown, Psy.D., LLC

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1316027873
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1710085006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338311559",
            "telephone_number": "863-519-0575",
            "fax_number": "863-582-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 GILMORE AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053017",
            "telephone_number": "863-519-0575",
            "fax_number": "863-248-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHJE",
        "first_name": "RONALD",
        "middle_name": "SCOTT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I0008592",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000359775",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R",
            "last_name": "RATHJE",
            "middle_name": "SCOTT",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeanne Martha Raschke, EDUCATIONAL DR.
• Sowsan H Rasheid, M.D.
• Muneeza Rashid, MD
• Saleh Faiz Rashid, PHARMD
• Lois Gay Ratcliff, MASTERS CCC AS BS SP
• Hemantkumar Ramanlal Raval, M.D.
• Himagiri Ravi, M.D.
• Ray of Hope Home Care Services LLC
• Dorothy Joan Ray, M.D.
• Piyali Das Ray, M.D

• Clinical Social Worker in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.