Active NPI
Rebekah Lear-Pendleton
- Clinical Social Worker
- Lewiston, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC13644
- Practice address
- 1155 Lisbon St Ste H
Lewiston, ME 04240-5025 - Phone
- (207) 783-9141
- NPI assigned
- Aug 25, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MC12586 | ME | |
| Clinical Social Worker | 1041C0700X | LC13644 | ME | Primary |
Addresses
Primary practice location
1155 Lisbon St Ste H
Lewiston, ME 04240-5025
Mailing address
71 US Route 1
Suite H
Scarborough, ME 04074-6400
Phone (207) 322-3016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 435855099 | Other | ME | PROVIDER ENROLLMENT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 Washington Ave
Suite 100
Portland, ME 04103-2842
Phone (207) 871-1200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC13644 | ME | MD | Clinical Social Worker |
| MC12586 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spurwink Services Incorporated | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Pathways of Maine, Inc. | Past | Accepting new patients |
Locations
139 State St
#1
Bangor, ME 04401
1155 Lisbon St
Lewiston, ME 04240
12 High St
Ste 301
Lewiston, ME 04240
Phone (207) 795-5730
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
1155 Lisbon St
Ste H
Lewiston, ME 04240
901 Washington Ave
Ste 100
Portland, ME 04103
Phone 20787112112145
9 Hillcrest Ave
Randolph, ME 04346
Phone (207) 582-9205
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, ME
- NPI 1760507297
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- Community/Behavioral Health Agency
- Scarborough, ME
- NPI 1205974086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1104132380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 US ROUTE 1",
"address_2": "SUITE H",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040746400",
"telephone_number": "207-322-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 LISBON ST STE H",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042405025",
"telephone_number": "207-783-9141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAR-PENDLETON",
"first_name": "REBEKAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC12586",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC13644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ENROLLMENT",
"identifier": "435855099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.