Active NPI
Rachael Ringwood LCSW, LLC
- Adult Mental Health Clinic/Center
- Milwaukie, OR
National Provider Identifier
1720625197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- RACHAEL RINGWOOD LCSW, LLC
- Doing business as
- Rachael Ringwood LCSW, LLC
- Practice address
- 2029 SE Jefferson St Ste 107
Milwaukie, OR 97222-7605 - Phone
- (801) 706-6468
- Fax
- (877) 743-1725
- NPI assigned
- Dec 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachael Ringwood, LCSW
- Title
- Owner
- Phone
- (385) 743-1725
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
2029 SE Jefferson St Ste 107
Milwaukie, OR 97222-7605
Mailing address
2029 SE Jefferson St Ste 107
Milwaukie, OR 97222-7605
Phone (801) 706-6468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500732946 | Medicaid | OR |
Other names 1
- Rachael Ringwood LCSW, LLC
National Provider Directory
National Provider DirectoryLocations
2029 SE Jefferson St
Ste 107
Milwaukie, OR 97222
Phone (385) 743-1725
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Milwaukie, OR
- NPI 1891000782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575417600000",
"number": "1720625197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2029 SE JEFFERSON ST STE 107",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972227605",
"telephone_number": "801-706-6468",
"fax_number": "877-449-3910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2029 SE JEFFERSON ST STE 107",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972227605",
"telephone_number": "801-706-6468",
"fax_number": "877-743-1725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RACHAEL RINGWOOD LCSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-04",
"last_updated": "2019-12-04",
"status": "A",
"authorized_official_last_name": "RINGWOOD",
"authorized_official_first_name": "RACHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "385-743-1725",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500732946",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rachael Ringwood LCSW, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.