Rebecca Wiersma, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16660 Issued in MN

Practice address

1016 8TH Avenue SW
Pipestone, MN 56164

Phone

(507) 825-5888

Fax

(507) 825-5880

NPI assigned

Sep 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwestern Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Luverne, MN
  • NPI 1487654562
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093818379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E LUVERNE ST",
            "address_2": "PO BOX 686",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "561561610",
            "telephone_number": "507-283-9511",
            "fax_number": "507-283-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 8TH AVENUE SW",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "56164",
            "telephone_number": "507-825-5888",
            "fax_number": "507-825-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERSMA",
        "first_name": "REBECCA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas J Vermeer, OD
• Megan Vilhauer, MS, RD, LN
• Jackie Vroman, D.O.
• Ashley Whipkey, MSW, LICSW
• Caitrin Jonell White
• Megan Nicole Wilkinson, MD
• Jessica Rae Winter, PHARMD
• Cassandra A Woitaszewski, RN, BSN, PHN
• Myles F Zephier, D.O.

• Clinical Social Worker in Pipestone, MN
• Providers in Pipestone, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.