Individual provider Active NPI

Rachel Lynn Taylor, LMSW

  • Clinical Social Worker
  • Clarkston, MI
National Provider Identifier
1912206798
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L1941394 Issued in MI
Practice address
6549 Town Center Dr
Clarkston, MI 48346-4824
Phone
(248) 620-6400
NPI assigned
Mar 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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 L1941394 MI Primary

Addresses

Primary practice location

6549 Town Center Dr
Clarkston, MI 48346-4824

Mailing address

8335 Kier Rd
Clarkston, MI 48348-1123
Phone (517) 881-5620

Other names 1

  • Ms. Rachel Lynn Steslicki Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140212001676 MI Practitioner - Clinical Social Worker 7214166388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kindmind Behavioral HealthGroup PAC ID 3476922006, 6 clinicians

Practice addresses (Care Compare)

5980 S Main St
Clarkston, MI 48346-2377
Phone (248) 470-7359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L1941394MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kindmind Behavioral Health CurrentSince Dec 1, 2022 Accepting new patients
Kindmind Psychiatric Health PastSince Jun 1, 2026 Accepting new patients

Locations

5980 S Main St
Clarkston, MI 48346
Phone (248) 470-7359

5980 S Main St
Ste 101
Clarkston, MI 48346
Phone (248) 470-7359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1912206798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 KIER RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483481123",
            "telephone_number": "517-881-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6549 TOWN CENTER DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464824",
            "telephone_number": "248-620-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-20",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "L1941394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "STESLICKI",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.