Individual provider Active NPI

Rebecca Danielle Masterson, MSW, LCSW

  • Clinical Social Worker
  • Lake Worth, FL
National Provider Identifier
1083111033
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20769 Issued in FL
Practice address
2290 10TH Ave N Ste 601
Lake Worth, FL 33461-6618
Phone
(561) 823-3178
Fax
(561) 516-8861
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X SW20769 FL Primary

Addresses

Primary practice location

2290 10TH Ave N Ste 601
Lake Worth, FL 33461-6618

Mailing address

2290 10TH Ave N Ste 601
Lake Worth, FL 33461-6618
Phone (561) 823-3178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240529000815 FL Practitioner - Clinical Social Worker 7719329325 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW20769FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Multilingual Psychotherapy Centers, Inc. CurrentSince Jun 2, 2025 Accepting new patients

Locations

1639 Forum Pl
Ste 7
West Palm Beach, FL 33401

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": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1083111033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 10TH AVE N STE 601",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616618",
            "telephone_number": "561-823-3178",
            "fax_number": "561-516-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 10TH AVE N STE 601",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616618",
            "telephone_number": "561-823-3178",
            "fax_number": "561-516-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "REBECCA",
        "middle_name": "DANIELLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.