Individual provider Active NPI

Rebecca McKillip

  • Social Worker
  • Spokane, WA
National Provider Identifier
1104760347
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
60290427 Issued in WA
Practice address
323 E 2ND Ave
Spokane, WA 99202-1455
Phone
(509) 315-7752
NPI assigned
Apr 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 60290427 WA Primary

Addresses

Primary practice location

323 E 2ND Ave
Spokane, WA 99202-1455

Mailing address

3929 W Queen Ave
Spokane, WA 99205-6155
Phone (509) 315-7752

Other practice location 1

3929 W Queen Ave
Spokane, WA 99205-6155
Phone (509) 315-7752

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
60290427WAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1104760347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 W QUEEN AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056155",
            "telephone_number": "509-315-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E 2ND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021455",
            "telephone_number": "509-315-7752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3929 W Queen Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992056155",
            "country_code": "US",
            "telephone_number": "509-315-7752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKILLIP",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "60290427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.