Rebekah Jayne Burkey, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119683 Issued in MA

Practice address

4 S Kimball St
Bradford, MA 01835-7418

Phone

(978) 521-6868

Fax

(978) 521-1965

NPI assigned

Sep 10, 2018

Last updated

Sep 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Rebekah Jayne Wells Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1003399627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S KIMBALL ST",
            "city": "BRADFORD",
            "state": "MA",
            "postal_code": "018357418",
            "telephone_number": "978-521-6868",
            "fax_number": "978-521-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S KIMBALL ST",
            "city": "BRADFORD",
            "state": "MA",
            "postal_code": "018357418",
            "telephone_number": "978-521-6868",
            "fax_number": "978-521-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKEY",
        "first_name": "REBEKAH",
        "middle_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "WELLS",
            "middle_name": "JAYNE",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Bradford, MA
• Providers in Bradford, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.