PATRICIA S RICKENBAKER


Address: 4601 Lake Boone Trl, Suite 2-c, Raleigh, NC 27607-7503
Phone: 9195399650

PATRICIA S RICKENBAKER (NPI# 1154387470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154387470
Entity Type Individual
Full Name PATRICIA S RICKENBAKER
Credential LISW
Practice Address 4601 Lake Boone Trl
Suite 2-c
Raleigh
NC 27607-7503
Practice Telephone 9195399650
Practice Fax Number 9197876470
Mailing Telephone 9195399650
Mailing Fax Number 9197876470
Enumeration Date 2006-04-25
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
C002420 NC Behavioral Health & Social Service Providers

Office Location

Street Address 4601 LAKE BOONE TRL
SUITE 2-C
City RALEIGH
State NC
Zip Code 27607-7503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992784946 Rosilene Ziegler Psychologist 4601 Lake Boone Trl, Garden Suite, Raleigh, NC 27607-7503 2006-01-10
1619320918 Samuel Scott Bass Marriage & Family Therapist 4601 Lake Boone Trl, Suite 3b, Raleigh, NC 27607-7503 2016-07-21
1982948469 James G Robinson Nurse Practitioner 4601 Lake Boone Trl, Raleigh, NC 27607-7503 2012-11-21
1174814966 Hd Treatment Center of Raleigh Pa Internal Medicine 4601 Lake Boone Trl, Suite 1d, Raleigh, NC 27607-7503 2011-04-27
1629370762 Keller Management, LLC Clinic/Center 4601 Lake Boone Trl, Suite 2e, Raleigh, NC 27607-7503 2010-11-22
1710137559 Scott R Mcclure Dds Ms Pa Dentist 4601 Lake Boone Trl, Suite 1a, Raleigh, NC 27607-7503 2008-09-29
1467663682 Patricia Lane Edgerton Counselor 4601 Lake Boone Trl, Suite 3a, Raleigh, NC 27607-7503 2007-05-28
1013135896 Maria Lemmons Wood Counselor 4601 Lake Boone Trl, Suite 1b, Raleigh, NC 27607-7503 2007-04-24
1437375052 Jennifer Heer Ennis Counselor 4601 Lake Boone Trl, Suite 1b, Raleigh, NC 27607-7503 2007-04-18
1326197344 Robert Kratz Emergency Medicine 4601 Lake Boone Trl, Suite 1d, Raleigh, NC 27607-7503 2007-01-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972093144 Kyndra Lawson Behavior Technician 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 2018-05-14
1578082905 Margaret Roberts Bova Dietitian, Registered 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 2017-09-18
1184141897 Chricat Garrard Nurse Practitioner 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 2017-08-23
1487178620 John Patrick Morton Pharmacist 2411 Landmark Dr, Raleigh, NC 27607 2017-07-31
1023538857 Heather Margaret Mazzola Audiologist 7800 Lake Boone Trail, 100, Raleigh, NC 27607 2017-06-22
1790216984 North Carolina Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2411 Landmark Drive, Raleigh, NC 27607 2017-03-21
1558819516 Corilin Nocito Meggitt Nurse Practitioner 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 2016-09-19
1942757034 Stacie Walker Obstetrics & Gynecology 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 2016-09-06
1831644533 Alisa Smajlagic Howe Nurse Practitioner 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 2016-08-23
1235598632 Yoseph Saleh Dentist 107 Minden Ln, Raleigh, NC 27607 2016-02-15
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295333516 Susan Silberman Social Worker 8480 Honeycutt Rd Ste 200, Raleigh, NC 27615-2261 2020-10-09
1427665074 Arshiya F Siddiqui Social Worker 12900 Saxon Way, Raleigh, NC 27613-5753 2020-09-28
1427661784 Priscilla Janine James Social Worker 913 Haynes St, Raleigh, NC 27604-1463 2020-08-26
1730791443 Robin Hotard Roche Social Worker 3209 Clandon Park Dr, Raleigh, NC 27613-8839 2020-08-24
1124639786 Richetta White Social Worker 2921 Berkeley Springs Pl, Raleigh, NC 27616-6645 2020-08-16
1356950349 Rachel Elizabeth Zarcone Social Worker 702 Van Buren Rd, Raleigh, NC 27604-2368 2020-07-27
1881202794 Nikki Atkins Social Worker 3125 Poplarwood Ct Ste 211, Raleigh, NC 27604-6445 2020-07-16
1770100547 Flourish Mental Health Pllc Social Worker 8307 Six Forks Rd Ste 201, Raleigh, NC 27615-3768 2020-06-28
1235756057 Amy Boiselle Fitzgerald Social Worker 524 S Boylan Ave, Raleigh, NC 27603-2130 2020-06-27
1639798200 Tatiana Alicia Hinton Social Worker 3117 Poplarwood Ct Ste 350, Raleigh, NC 27604-6446 2020-04-13
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Competitor

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City RALEIGH
Zip Code 27607

Improve Information

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Dataset Information

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.

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