Individual provider Active NPI

Rebekah Lear-Pendleton

  • Clinical Social Worker
  • Lewiston, ME
National Provider Identifier
1104132380
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC13644 Issued in ME
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

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
435855099OtherMEPROVIDER 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141120000662 ME Practitioner - Clinical Social Worker 5698997096 Reassigns benefits to 2 organizations

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
Spurwink Services IncorporatedGroup PAC ID 7810026945, 87 clinicians

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

LicenseStateTypeSpecialty
LC13644MEMDClinical Social Worker
MC12586MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spurwink Services Incorporated CurrentSince Apr 10, 2024 Accepting new patients
Central Maine Medical Center CurrentSince Mar 19, 2020 Accepting new patients
Central Maine Medical Center CurrentSince Mar 19, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.