Kevin Michael Rakoczy, MSW, ACSW, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801059923 Issued in MI

Practice address

3922 22ND St
Wyandotte, MI 48192-6308

Phone

(734) 846-7620

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1750348264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 22ND ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926308",
            "telephone_number": "734-846-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 22ND ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926308",
            "telephone_number": "734-846-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOCZY",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MSW, ACSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801059923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Quasarano, DPM
• Janie Clare Rabish-Eaton, P.T.
• Shermeen Rahmat, M.B B.CH B.A.O
• Sumrine Shamsher Raja, M.D.
• Faten Rakine
• Kristin Rae Raleigh, D.P.M.
• Thimmiah Ramesh, M.D
• Jovanna Ramos-Quiroz, LLMSW
• Ravinder Gandhi, M.D., P.C.
• Charles Raymond, M.D.

• Clinical Social Worker in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.