Elizabeth R Ricketts
Community Health Worker in Vineyard Haven, Massachusetts
1538677521- Practice location
- 111 Edgartown Vineyard Haven RD, Vineyard Haven, MA 02568-5699
- Phone
- 508-684-8126
- Fax
- 508-696-0401
- Last updated
- November 21, 2025
Elizabeth Renee Ricketts is a Community Health Worker based in Vineyard Haven, MA. Elizabeth Renee Ricketts practices in Vineyard Haven, MA. The NPI Number for Elizabeth Renee Ricketts is 1538677521 and holds a License No. U78904309 (MA). The current practice location address for Elizabeth Renee Ricketts is 111 Edgartown Vineyard Haven RD, Vineyard Haven, MA 02568-5699 and can be reached out via phone at 508-684-8126 and via fax at 508-696-0401.
Provider Profile Details
- NPI Number
- 1538677521
- Provider Name
- Elizabeth Renee Ricketts
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 Edgartown Vineyard Haven RD, Vineyard Haven, MA 02568-5699
- Phone Number
- 508-684-8126
- Fax Number
- 508-696-0401
- Primary Taxonomy
- Community Health Worker · 172V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 12, 2018
- Last Update Date
- November 21, 2025
- Certification Date
- November 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Edgartown Vineyard Haven RD
Vineyard Haven, MA 02568-5699 - City
- Vineyard Haven
- State
- Massachusetts
- Zip
- 02568-5699
- Phone Number
- 508-684-8126
- Fax Number
- 508-696-0401
Provider Business Mailing Address Details
- Address
- 111 Edgartown Vineyard Haven RD
Vineyard Haven, MA 02568-5699 - City
- Vineyard Haven
- State
- MA
- Zip
- 02568-5699
- Phone Number
- 508-684-8126
- Fax Number
- 508-696-0401
License Information
- License Number (1)
- U78904309
- License State (1)
- MA
- Taxonomy (1)
- Social Worker · 104100000X
- Taxonomy (2)
- Case Manager/Care Coordinator · 171M00000X
- License Number (3)
- CHW1361
- License State (3)
- MA
- Taxonomy (3)
- Community Health Worker · 172V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Community Health Workers near Vineyard Haven, MA
View all Community Health Workers in Vineyard Haven →- Sydney SmithSocial Worker, Clinical · NPI 1053211375
- Randi S Dorn, EDD, ABPPPsychologist, Clinical · NPI 1316908841
- Jackie ClasonHomeopath · NPI 1992914709
- Lilly SchottRegistered Nurse, Lactation Consultant · NPI 1700780152
- Patricia A Duffy Brown, LMHCCounselor, Mental Health · NPI 1396876934
- Jenev Schilling, LCSWSocial Worker, Clinical · NPI 1043129133
Frequently Asked Questions
What is the NPI number of Elizabeth R Ricketts?
The NPI number of Elizabeth R Ricketts is 1538677521. It was assigned on January 12, 2018 and is currently active in the NPPES registry.
What is the specialty of Elizabeth R Ricketts?
Elizabeth R Ricketts is registered under the primary taxonomy Community Health Worker (code 172V00000X), licensed in MA under license number U78904309.
Where does Elizabeth R Ricketts practice?
The practice location is 111 Edgartown Vineyard Haven RD, Vineyard Haven, MA 02568-5699. The office can be reached at 508-684-8126 (phone) or 508-696-0401 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538677521 directly on the NPPES registry website.