Rebecca Roebke

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0001013 Issued in DE

Practice address

260 Chapman Rd
Suite 100 H
Newark, DE 19702-5490

Phone

(302) 292-1334

Fax

(302) 292-1349

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 1, 2022 through Dec 1, 2026

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Center for Child Development, Incorporated

  • Psychologist
  • Newark, DE
  • NPI 1437450814

  Clinical

  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1114041738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CHAPMAN RD",
            "address_2": "SUITE 100 H",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025490",
            "telephone_number": "302-292-1334",
            "fax_number": "302-292-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CHAPMAN RD",
            "address_2": "SUITE 100 H",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025490",
            "telephone_number": "302-292-1334",
            "fax_number": "302-292-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEBKE",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Holdings, LLC
• Tania Rodriguez Cintora
• Tyesha Rodriguez-Gist, AGACNP
• Abigail Joy Rodriguez-Stutts, MS
• Carina Rodriguez
• Ayzelinn G Roebuck
• Christopher Joseph Rogan, M.D.
• Sarah Roger, ATC
• Jeffery C Rogers Jr., P.T.
• Nicole R Rogers

• Clinical Social Worker in Newark, DE
• Providers in Newark, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.