Individual provider Active NPI

Rebecca Hicock Cornwell, LCSW-C

  • Social Worker
  • Snow Hill, MD
National Provider Identifier
1063570208
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
G11268 Issued in MD
Practice address
422 West Market Street
Suite a
Snow Hill, MD 21863-3547
Phone
(410) 632-4510
NPI assigned
Dec 4, 2006
Last updated
Apr 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X G11268 MD Primary

Addresses

Primary practice location

422 West Market Street
Suite a
Snow Hill, MD 21863-3547

Mailing address

28251 Main Street
Hallwood, VA 23359
Phone (757) 854-1667

Other names 1

  • Becky Cornwell Other name

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

State licenses

LicenseStateTypeSpecialty
G11268MDMDSocial Worker
13686MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1063570208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28251 MAIN STREET",
            "city": "HALLWOOD",
            "state": "VA",
            "postal_code": "23359",
            "telephone_number": "757-854-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 WEST MARKET STREET",
            "address_2": "SUITE A",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218633547",
            "telephone_number": "410-632-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNWELL",
        "first_name": "REBECCA",
        "middle_name": "HICOCK",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "G11268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "CORNWELL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Snow Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.