Rebekah E Wyse, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SC60298475 Issued in WA

Practice address

743 N 100TH St
Seattle, WA 98133-9305

Phone

(206) 771-1589

NPI assigned

Sep 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Rebekah E Bird 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": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1073863551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 N 100TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339305",
            "telephone_number": "206-771-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 N 100TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339305",
            "telephone_number": "206-771-1589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 NW Leary Way Ste 400",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981075138",
            "country_code": "US",
            "telephone_number": "206-487-3380",
            "fax_number": "206-260-0267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYSE",
        "first_name": "REBEKAH",
        "middle_name": "E",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "SC60298475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "BIRD",
            "middle_name": "E",
            "prefix": "MRS.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Gloria Wynn, PA-C
• Rebecca Wynsome, ND
• Karen Dorothy Wyome, MSW
• Elizabeth Wyosnick, RDN
• Kaley Jane Wypyszynski, ARNP, DNP
• Katherine Dawn Wysham
• Hannah Elizabeth Xavier, MD
• Shani Xaylavong, MD
• Xealix Mobility Services LLC
• Deborah Yachun XI

• Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Social Worker in Washington

• 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.