Individual provider Active NPI

Rebeca Chen Ma, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1053885004
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087126 Issued in NY
Practice address
81 Elizabeth St Ste 601
New York, NY 10013-4729
Phone
(929) 320-6105
NPI assigned
Jan 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 087126 NY Primary

Addresses

Primary practice location

81 Elizabeth St Ste 601
New York, NY 10013-4729

Mailing address

81 Elizabeth St Ste 601
New York, NY 10013-4729
Phone (929) 320-6105

Other practice location 1

225 Broadway Ste 2130
New York, NY 10007-3001
Phone (929) 320-6105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Momentshere Inc. Clinical Current Accepting new patients
Moments Here LCSW, PC Clinical CurrentSince Jan 17, 2022 Accepting new patients

Locations

225 Broadway
Ste 2130
New York, NY 10007
Phone (646) 512-4327

81 Elizabeth St
Ste 601
New York, NY 10013
Phone (212) 219-9362

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1547337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1053885004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 ELIZABETH ST STE 601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134729",
            "telephone_number": "929-320-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 ELIZABETH ST STE 601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134729",
            "telephone_number": "929-320-6105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Broadway Ste 2130",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100073001",
            "country_code": "US",
            "telephone_number": "929-320-6105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN MA",
        "first_name": "REBECA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-13",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.