Individual provider Active NPI

Rebecca M Eckenrode, LISW-S

  • Clinical Social Worker
  • Rocky River, OH
National Provider Identifier
1093157232
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1700334 Issued in OH
Practice address
2639 Wooster Rd
Rocky River, OH 44116-2911
Phone
(440) 479-3308
NPI assigned
Jul 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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 I1700334 OH Primary

Addresses

Primary practice location

2639 Wooster Rd
Rocky River, OH 44116-2911

Mailing address

32640 Spinnaker Dr
Avon Lake, OH 44012-2110
Phone (440) 479-3300

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I1700334OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
RMK Healing Therapies LLC Clinical CurrentSince Oct 1, 2019 Accepting new patients

Locations

2639 Wooster Rd
Ste 2
Rocky River, OH 44116

2639 Wooster Rd
Rocky River, OH 44116
Phone (440) 479-3308

20088 Center Ridge Rd
Ste 101
Rocky River, OH 44116

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1093157232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32640 SPINNAKER DR",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122110",
            "telephone_number": "440-479-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 WOOSTER RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162911",
            "telephone_number": "440-479-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKENRODE",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1700334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.