MEDICARE: RACHEL SCULLION LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator	15152	LA
2	1041C0700X	Clinical Social Worker	6801116790	MI
3	1041C0700X	Clinical Social Worker	6801098872	MI

General Provider Information

NPI Number	:	1235676818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL SCULLION LMSW

Provider Business Mailing Address
First Line	:	20411 W 12 MILE RD STE 101
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-6404
Country	:	US
Telephone Number	:	866-703-1901
Fax Number	:

Provider Business Practice Location Address
First Line	:	4370 CHICAGO DR SW # 515
Second Line	:
City	:	GRANDVILLE
State	:	MI
Zip	:	49418-1694
Country	:	US
Telephone Number	:	616-287-2283
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2017
Last Update Date	:	12/22/2023

Similar Medicare Providers

1194680751 — LEEANNA CZARNECKI
Practice Location Address:

4370 CHICAGO DR SW STE 304
GRANDVILLE, MI
49418-1694

Practice Phone: 616-260-7915
Practice Fax:

1548537566 — ERIN TAYLOR MATLOSZ PSY.D.
Practice Location Address:

4370 CHICAGO DR SW STE 304
GRANDVILLE, MI
49418-1694

Practice Phone: 616-260-7915
Practice Fax: 616-333-5394

1114273653 — MS. DAVISON SARAI NICHOLAS LPC
Practice Location Address:

4370 CHICAGO DR SW
GRANDVILLE, MI
49418-1694

Practice Phone: 269-215-1454
Practice Fax:

1619336070 — NANCY BALDUS LLP, LPC
Practice Location Address:

4370 CHICAGO DR SW # 113
GRANDVILLE, MI
49418-1694

Practice Phone: 616-536-1991
Practice Fax:

1669990834 — MS. HOLLY LYNN JONES LMSW
Practice Location Address:

4370 CHICAGO DR SW # 515
GRANDVILLE, MI
49418-1694

Practice Phone: 616-287-2283
Practice Fax: 616-585-0148

1740797109 — CHELSIE JONES LPC
Practice Location Address:

4370 CHICAGO DR SW # 515
GRANDVILLE, MI
49418-1694

Practice Phone: 616-288-3183
Practice Fax:

Directions to “ RACHEL SCULLION LMSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.