Rebecca J Carson, LBSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

SWB-2023-1222 Issued in NM

Practice address

1500 E. 25TH St.
Farmington, NM 87401

Phone

(505) 599-8612

Fax

(855) 290-2205

NPI assigned

Jun 11, 2021

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cottonwood Clinical Services, Inc.

  • Community/Behavioral Health Agency
  • Farmington, NM
  • NPI 1790019420
  NPD

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1043888506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 E. 30TH ST. SUITE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87402",
            "telephone_number": "505-599-8612",
            "fax_number": "855-290-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E. 25TH ST.",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-599-8612",
            "fax_number": "855-290-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "REBECCA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2023-12-28",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "SWB-2023-1222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca@cottonwood.us.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "653 W Arrington St",
            "city": "Farmington",
            "state": "NM",
            "country_code": "US",
            "postal_code": "874018513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca@cottonwood.us.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "653 W Arrington St",
            "city": "Farmington",
            "state": "NM",
            "country_code": "US",
            "postal_code": "874018513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tami Carpenter-Roebuck, LISW
• Diane Ruth Carpenter, LPN-21303
• Dyan Carpenter, RN
• Eric Warden Carpenter, D.C.
• Samuel C Carpenter, DPM
• Rose Caryl, LSAA
• Daniel L Casias, PH.D., LMFT
• Margaret L Cassidy, M.D.
• Michael Louis Castenell, DSW, LISW
• Varlena L Castiana

• School Social Worker in Farmington, NM
• Providers in Farmington, NM by specialty
• School Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.