Individual provider Active NPI

Rebecca Lord, LICSW

  • Clinical Social Worker
  • Lanesboro, MA
National Provider Identifier
1083936801
Registry record updated Feb 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110872 Issued in MA
Practice address
24 Longview Rd
Lanesboro, MA 01237-9514
Phone
(413) 212-9527
NPI assigned
Feb 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2010

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 110872 MA Primary

Addresses

Primary practice location

24 Longview Rd
Lanesboro, MA 01237-9514

Mailing address

24 Longview Rd
Lanesboro, MA 01237-9514
Phone (413) 212-9527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110329000037 MA Practitioner - Clinical Social Worker 5890978829 Practice locations: Richmond, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

280 Osceola Notch Rd
Richmond, MA 01254-5222
Phone (413) 212-9529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1266710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266710400000",
    "number": "1083936801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LONGVIEW RD",
            "city": "LANESBORO",
            "state": "MA",
            "postal_code": "012379514",
            "telephone_number": "413-212-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LONGVIEW RD",
            "city": "LANESBORO",
            "state": "MA",
            "postal_code": "012379514",
            "telephone_number": "413-212-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "REBECCA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-21",
        "last_updated": "2010-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanesboro, MA

Sources for this page

Verify at the official NPI Registry.