Rebecca Lynne Migliaccio
Individual provider Active NPI Clinical Social Worker · Moseley, VA
NPI 1003385311 · NPPES record last updated Nov 15, 2018
Key facts
- NPI
- 1003385311
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 111245 (MA)
- Practice address
- 11312 Heartleaf PL
Moseley, VA 23120-1577 - Phone
- (617) 966-6187
- NPI assigned
- Nov 15, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111245 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111245 | MA | Yes |
Addresses
Primary practice location
11312 Heartleaf PL
Moseley, VA 23120-1577
Mailing address
11312 Heartleaf PL
Moseley, VA 23120-1577
Phone (617) 966-6187
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123456789 | Medicaid | MA |
Other providers in Moseley, VA
- Maa Home Care LLC
- Cindy Yvonne Martinez-Kilgo
- Katrina Martinez
- Lauren Meade
- Metro King Transportation LLC
- Altory Musni Miranda Jr.
- Sarah Monahan
- Alyssa Moore
- Tulany Mupandasekwa
- N'Ergy, LLC
All providers in Moseley, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.