Individual provider Active NPI

Rebecca Mary Lekovic, LCSW

  • Clinical Social Worker
  • Warwick, NY
National Provider Identifier
1093358749
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2 Overlook Dr
Warwick, NY 10990-1810
Phone
(814) 500-8603
Fax
(845) 999-4610
NPI assigned
Oct 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 107779 NY
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2 Overlook Dr
Warwick, NY 10990-1810

Mailing address

2 Overlook Dr
Warwick, NY 10990-1810
Phone (914) 500-8603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 3, 2023 through Jul 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
107779NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1093358749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OVERLOOK DR",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901810",
            "telephone_number": "914-500-8603",
            "fax_number": "845-999-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OVERLOOK DR",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901810",
            "telephone_number": "814-500-8603",
            "fax_number": "845-999-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEKOVIC",
        "first_name": "REBECCA",
        "middle_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107779",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, NY

Sources for this page

Verify at the official NPI Registry.