MR. DEREK ROBERT RACICKI (NPI# 1881170249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881170249 |
Entity Type | Individual |
Full Name | MR. DEREK ROBERT RACICKI |
Credential | MSSA, MA, LISW-S |
Practice Address |
3200 Vine St. Cincinnati Va Medical Center Cincinnati OH 45220 |
Mailing Address |
6382 Birchdale Ct Cincinnati OH 45230-3635 |
Practice Telephone | 5138613100 |
Mailing Telephone | 2167026994 |
Enumeration Date | 2018-07-18 |
Last Update Date | 2018-07-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.1500815-SUPV | OH | Behavioral Health & Social Service Providers |
Street Address |
3200 VINE ST. CINCINNATI VA MEDICAL CENTER |
City | CINCINNATI |
State | OH |
Zip Code | 45220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558465963 | Linda M. Wood | Dietitian, Registered | 3200 Vine St., Cincinnati, OH 45220 | 2006-09-08 |
1265852115 | Daniel G. Peters | Internal Medicine | 3200 Vine St., Va Medical Center, Cincinnati, OH 45220 | 2014-04-18 |
1497856355 | Peter Timothy Egan | Internal Medicine | 3200 Vine St., Veterans Administration Medical Center, Cincinnati, OH 45220 | 2006-09-25 |
1679677744 | Donna Boyd Cobbah | Social Worker | 3200 Vine St., Department of Veterans Affairs Va Medical Center, Cincinnati, OH 45217 | 2006-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003414558 | Gerthlan LLC | Home Health | 3220 Jefferson Avenue, Suite 21, Cincinnati, OH 45220 | 2020-10-15 |
1598385510 | Michael Aduragbemi Fatuyi | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave., Good-samaritan Hospital, Cincinnati, OH 45220 | 2020-04-20 |
1982262648 | Frank Hiroshi Harris | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Avenue Dept Of, Internal Medicine Residency, Cincinnati, OH 45220 | 2019-05-29 |
1184121303 | Patina E Nelson | Counselor | 311 Martin Luther King Dr W, Cincinnati, OH 45220 | 2018-04-13 |
1558701540 | Mohd Amer Alsamman | Internal Medicine | 375 Dixmyth Avenue - Good Samaritan Hospital, 3rd Floor, Medical Education, Cincinnati, OH 45220 | 2013-07-05 |
1104057868 | Dorothy Kimberly Grizzell | Occupational Therapy Assistant | 440 Lafayette Ave., Cincinnati, OH 45220 | 2009-07-29 |
1184865651 | Maria C Nicholson | Dietitian, Registered | 3219 Clifton Avenue, Suite 325, Cincinnati, OH 45220 | 2009-03-13 |
1508066507 | Amy Elizabeth Banks | Physical Therapist | Cincinnati Va Medical Center 3200 Vine Street, Cincinnati, OH 45220 | 2007-07-19 |
1821213968 | Ann Gelke | Psychiatry & Neurology | 3447 Cornell Pl, Cincinnati, OH 45220 | 2007-04-16 |
1538283627 | Manish Srivastava | Internal Medicine | 375 Dixmyth Ave 8th Floor, Cincinnati, OH 45220 | 2007-03-16 |
Find all providers in zip 45220 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922614452 | Guiding Paths Therapy Services, LLC | Social Worker | 526 Clinton Springs Ave # C, Cincinnati, OH 45217-1955 | 2020-09-21 |
1568077881 | Anne Katherine Karp | Social Worker | 6738 Dante Ave, Cincinnati, OH 45213-1505 | 2020-09-14 |
1316551443 | Karen Denise Rumsey | Social Worker | 1717 Section Rd Ste 2061541, Cincinnati, OH 45237-3397 | 2020-09-05 |
1073127882 | David Delgado II | Social Worker | 2905 Montclair Ave, Cincinnati, OH 45211-5703 | 2020-08-31 |
1972111656 | Blue Skyy Therapeutic Services, LLC | Social Worker | 1717 Section Rd Ste 206, Cincinnati, OH 45237-3336 | 2020-07-17 |
1083231179 | Inspire Counseling and Consulting | Social Worker | 8780 Colerain Ave, Cincinnati, OH 45251-2918 | 2020-07-06 |
1326664558 | Brittany Gordon | Social Worker | 3012 Glenmore Ave Ste 13, Cincinnati, OH 45238-2258 | 2020-06-23 |
1962028217 | Jr Gatt, LLC | Social Worker | 1118 Pendleton St Ste 440, Cincinnati, OH 45202-8805 | 2020-06-23 |
1811519937 | Aungelique R Heater | Social Worker | 526 Clinton Springs Ave Unit C, Cincinnati, OH 45217-1955 | 2020-05-12 |
1780219477 | Ebony Peak | Social Worker | 7373 Brookcrest Dr Ste 305, Cincinnati, OH 45237-3455 | 2020-03-03 |
Find all providers in CINCINNATI |
City | CINCINNATI |
Zip Code | 45220 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.