Individual provider Active NPI

Rachel Jamison, LCSW, M.ED

  • Clinical Social Worker
  • Lafayette, IN
National Provider Identifier
1720784069
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010192A Issued in IN
Practice address
217 Farabee Dr N
Lafayette, IN 47905-5910
Phone
(765) 250-5416
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34010192A IN Primary

Addresses

Primary practice location

217 Farabee Dr N
Lafayette, IN 47905-5910

Mailing address

217 Farabee Dr N
Lafayette, IN 47905-5910
Phone (765) 250-5416

Other names 1

  • RJ Jamison Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230317001687 IN Practitioner - Clinical Social Worker 2668846478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Oaks Health IncGroup PAC ID 7315927563, 45 clinicians

Practice addresses (Care Compare)

415 N 26TH St
Lafayette, IN 47904-2895
Phone (765) 446-6549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
34010192AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oaks Health Inc CurrentSince Feb 1, 2023 Accepting new patients
Valley Oaks Health Inc CurrentSince Feb 1, 2023 Accepting new patients

Locations

217 Farabee Dr N
Lafayette, IN 47905
Phone (765) 250-5416

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400

Organizations & group practices 2

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": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1720784069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 FARABEE DR N",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055910",
            "telephone_number": "765-250-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 FARABEE DR N",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055910",
            "telephone_number": "765-250-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "RACHEL",
        "credential": "LCSW, M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010192A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RJ",
            "last_name": "JAMISON",
            "credential": "LCSW, M.ED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.