Individual provider Active NPI

Tammy J Rakoczy, MSW, LISW-S

  • Clinical Social Worker
  • Euclid, OH
National Provider Identifier
1912913781
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0700229 Issued in OH
Practice address
25000 Euclid Ave Ste 305
Euclid, OH 44117-2646
Phone
(844) 866-8336
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 I.0700229 OH Primary

Addresses

Primary practice location

25000 Euclid Ave Ste 305
Euclid, OH 44117-2646

Mailing address

430 New Park Ave Ste 102
West Hartford, CT 06110-1142
Phone (844) 866-8336

Other names 1

  • Ms. Tammy J. Ramsey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240325002842 OH Order and Referring Only - Clinical Social Worker 3971749672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0700229OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Counseling, LLC CurrentSince Apr 1, 2013 Accepting new patients

Locations

131 N Ewing St
Ste B
Lancaster, OH 43130
Phone (740) 689-6700

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1912913781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 NEW PARK AVE STE 102",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101142",
            "telephone_number": "844-866-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 EUCLID AVE STE 305",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441172646",
            "telephone_number": "844-866-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOCZY",
        "first_name": "TAMMY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0700229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "RAMSEY",
            "middle_name": "J.",
            "prefix": "MS.",
            "credential": "MSW, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.