RACHEL J RIDGE (LCSW MS) – Clinical Social Worker, NPI 1255305330

RACHEL J RIDGE (LCSW MS) is a healthcare provider. based in Orland park, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW MS. They hold a License No. 149012691 (IL). The NPI Number for RACHEL J RIDGE (LCSW MS) is 1255305330

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
RACHEL J RIDGE (LCSW MS)
NPI
1255305330
Phone
(616) 942-8060
Address
15127 S 73RD AVE SUITE G
Enumeration Date
15 February 2006
Last Update Date
5 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082691516
Graduation Year
2000 (26 years ago)
PAC ID
4183062979
Group Practice PAC ID
3971997735
Professional Enrollment ID
I20240328003572
Address ID
IL604231279FR10217HWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for RACHEL J RIDGE (LCSW MS)

  • 15127 S 73RD AVE SUITE G

    ORLAND PARK, IL 60462

    Phone: (616) 942-8060

    Fax: (616) 942-6690

    Type: Location

  • 10217 W LINCOLN HWY

    FRANKFORT, IL 604231279

    Phone: (815) 806-7560

    Type: Location

  • 11885 ELISE BLVD

    FRANKFORT, IL 604237989

    Phone: (708) 269-1516

    Type: Mailing

  • Middletown Post Office, 11, Silver Street, South Farms, Middletown, Lower Connecticut River Valley Planning Region, Connecticut, 06457, United States

    MIDDLETOWN, OH 45042

    Phone: (616) 942-8060

    Fax: (616) 942-6690

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240328003572IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60462)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971997735View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

Does RACHEL J RIDGE (LCSW MS) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — RACHEL J RIDGE (LCSW MS) uses 1255305330.
Can I rely on RACHEL J RIDGE (LCSW MS) being an active provider?
As of the registry snapshot, RACHEL J RIDGE (LCSW MS) is marked active.
What is RACHEL J RIDGE (LCSW MS)'s primary classification?
Clinical Social Worker is the headline specialty for RACHEL J RIDGE (LCSW MS) here. Clinical services aligned with this taxonomy classification.
Where should I expect RACHEL J RIDGE (LCSW MS) on a map?
Expect Orland Park, Illinois as a primary anchor for RACHEL J RIDGE (LCSW MS) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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