Rebecca Lynn Theis, LMSW - 6141G

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6141G Issued in AL

Practice address

213 Main Ave NW
Cullman, AL 35055-2813

Phone

(205) 237-2376

NPI assigned

Jan 19, 2023

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)

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.

• Family Support Services, LLC

  • Clinical Social Worker
  • Decatur, AL
  • NPI 1023142189
  NPD

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1114632528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MAIN AVE NW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350552813",
            "telephone_number": "205-237-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MAIN AVE NW",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350552813",
            "telephone_number": "205-237-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEIS",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMSW - 6141G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "6141G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney Taylor, MS
• Donald Taylor
• Jacob Taylor, NP-C
• Rebekah Taylor, CRNP
• William Blake Tennant, MD
• Theraplay Pediatric Sensory Gym
• Therapy South Cullman LLC
• Bethany Thigpen, MSW
• Daniel Thigpen
• Third Day Anesthesia LLC

• All providers in Cullman, AL
• Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.