Rebecca A Stanwyck, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS12569 Issued in CA

Practice address

PO Box 2511
Petaluma, CA 94953-2511

Phone

(510) 881-2540

NPI assigned

Feb 17, 2007

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

• Elena Gorrow Licensed Clinical Social Worker, Inc.

  • Mental Health Counselor
  • San Ramon, CA
  • NPI 1427529288
  NPD (past)

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1114061678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2511",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949532511",
            "telephone_number": "510-881-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 2511",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949532511",
            "telephone_number": "510-881-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANWYCK",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-17",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS12569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Joseph Home Care Network (Providence Hospice Sonoma County)
• Krystallin Stacy
• Arnella O Stafford
• Ariel N Stanford
• Thomas Spencer Stanton II, M.D.
• Alicia Lynn Starrett, M.A.
• Kelly Staton, O.D.
• Marilyn Stefonetti, LMFT, NE
• Martin Richard Steigner, D.D.S.
• Lisa Sharon Stein, LMFT

• Clinical Social Worker in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.

Verify at the official NPI Registry.