Individual provider Active NPI

Margaret Ellen Raintree, L.C.S.W.

  • Clinical Social Worker
  • Middletown, CA
National Provider Identifier
1952551434
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27018 Issued in CA
Practice address
21152 Calistoga Re #203
Middletown, CA 95461
Phone
(707) 494-1239
Fax
(707) 968-6125
NPI assigned
Sep 22, 2008
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 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 27018 CA Primary

Addresses

Primary practice location

21152 Calistoga Re #203
Middletown, CA 95461

Mailing address

1335 Main St Ste 105
Saint Helena, CA 94574-1940
Phone (707) 494-1239

Other identifiers 1

IdentifierTypeStateIssuer
GI130AOtherCAMEDICARE ID

Other names 1

  • Margaret Raintree Homsy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120807000767 CA Practitioner - Clinical Social Worker 6406002419 Practice locations: Middletown, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21152 Calistoga St
Suite 203
Middletown, CA 95461-9312
Phone (707) 494-1239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27018CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1952551434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 MAIN ST STE 105",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741940",
            "telephone_number": "707-494-1239",
            "fax_number": "707-968-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21152 CALISTOGA RE #203",
            "city": "MIDDLETOWN",
            "state": "CA",
            "postal_code": "95461",
            "telephone_number": "707-494-1239",
            "fax_number": "707-968-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINTREE",
        "first_name": "MARGARET",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "GI130A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "HOMSY",
            "middle_name": "RAINTREE",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, CA

Sources for this page

Verify at the official NPI Registry.