Rebecca Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006041 Issued in IN

Practice address

3911 E. Lee Drive
Rockville, IN 47872

Phone

(765) 569-5593

Fax

(765) 569-5291

NPI assigned

Aug 20, 2010

Last updated

Aug 20, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1114233756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 8TH AVE",
            "address_2": "P.O. BOX 4323",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042744",
            "telephone_number": "812-231-8323",
            "fax_number": "812-231-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 E. LEE DRIVE",
            "city": "ROCKVILLE",
            "state": "IN",
            "postal_code": "47872",
            "telephone_number": "765-569-5593",
            "fax_number": "765-569-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockville Dental Clinic, Inc.
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• Anna M Schimmoller, MD
• Donna Gayle Smith, DC
• Larry Edwin Smith, FNP
• Amber Stinson, MS, LMHC
• John Franklin Swaim, MD
• The Narrow Gate LLC
• Thomas D Nicholas MD Daniel J Dwyer MD (Rockville Town Square Clinic)
• Thomas D Nicholas MD Daniel J Dwyer MD (Rockville Town Square Clinic)

• Clinical Social Worker in Rockville, IN
• Providers in Rockville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.