Individual provider Active NPI

Rebekah Markham, LCSW

  • Clinical Social Worker
  • Roanoke, VA
National Provider Identifier
1063387488
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904019218 Issued in VA
Practice address
1719 Grandin Rd SW
Roanoke, VA 24015-2815
Phone
(540) 988-3108
Fax
(855) 515-5360
NPI assigned
Oct 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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 0904019218 VA Primary

Addresses

Primary practice location

1719 Grandin Rd SW
Roanoke, VA 24015-2815

Mailing address

1719 Grandin Rd SW
Roanoke, VA 24015-2815
Phone (540) 988-3108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251025000631 VA Practitioner - Clinical Social Worker 1355830852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thriving Families Counseling LLCGroup PAC ID 4587904099, 10 clinicians

Practice addresses (Care Compare)

1719 Grandin Rd SW
Roanoke, VA 24015-2815
Phone (540) 915-6472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904019218VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thriving Families Counseling, LLC Clinical CurrentSince Oct 1, 2025 Accepting new patients

Organizations & group practices 1

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": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1063387488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 GRANDIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152815",
            "telephone_number": "540-988-3108",
            "fax_number": "855-515-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 GRANDIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152815",
            "telephone_number": "540-988-3108",
            "fax_number": "855-515-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKHAM",
        "first_name": "REBEKAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.