Individual provider Active NPI

Rachael A Ringwood, MSW, LCSW

  • Clinical Social Worker
  • Milwaukie, OR
National Provider Identifier
1891000782
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7355 Issued in OR
Practice address
2029 SE Jefferson St Ste 107
Milwaukie, OR 97222-7605
Phone
(385) 743-1725
Fax
(877) 449-3910
NPI assigned
Aug 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7743066-3506 UT
Clinical Social Worker 1041C0700X L7355 OR 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 (385) 743-1725

Other practice location 1

349 E 900 S
Salt Lake City, UT 84111-4331
Phone (385) 743-1725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20140626000499 UT Practitioner - Clinical Social Worker 0840221503 Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L7355ORMDClinical Social Worker
7743066-3506UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rachael Ringwood LCSW, LLC CurrentSince Oct 15, 2013 Accepting new patients

Locations

2029 SE Jefferson St
Ste 107
Milwaukie, OR 97222
Phone (385) 743-1725

Organizations & group practices 1

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": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1891000782",
    "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": "385-743-1725",
            "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": "385-743-1725",
            "fax_number": "877-449-3910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "349 E 900 S",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841114331",
            "country_code": "US",
            "telephone_number": "385-743-1725",
            "fax_number": "877-449-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RINGWOOD",
        "first_name": "RACHAEL",
        "middle_name": "A",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7743066-3506",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.