Active NPI
Andrea Darlene Ratcliff, LCSW
- Clinical Social Worker
- Fountain, CO
National Provider Identifier
1760738348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 36939
- Practice address
- 7788 Candlelight LN
Fountain, CO 80817-4271 - Phone
- (903) 949-0550
- NPI assigned
- Aug 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 36939 | TX | Primary |
Addresses
Primary practice location
7788 Candlelight LN
Fountain, CO 80817-4271
Mailing address
7788 Candlelight LN
Fountain, CO 80817-4271
Phone (903) 949-0550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36939 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1760738348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7788 CANDLELIGHT LN",
"city": "FOUNTAIN",
"state": "CO",
"postal_code": "808174271",
"telephone_number": "903-949-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7788 CANDLELIGHT LN",
"city": "FOUNTAIN",
"state": "CO",
"postal_code": "808174271",
"telephone_number": "903-949-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATCLIFF",
"first_name": "ANDREA",
"middle_name": "DARLENE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-01",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "36939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.