Rebecca Nelson LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REBECCA NELSON LLC

Practice address

3501 Lake Eastbrook Blvd SE Ste 280
Grand Rapids, MI 49546-5940

Phone

(616) 202-6638

NPI assigned

Feb 11, 2019

Organization subpart

No

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

Authorized official

Name

Rebecca E Nelson, LMSW

Title

Owner/Therapist

Phone

(616) 202-6638

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1124584545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 MARLBORO ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495344537",
            "telephone_number": "616-828-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 LAKE EASTBROOK BLVD SE STE 280",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465940",
            "telephone_number": "616-202-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA NELSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "616-202-6638",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Michelle Reau, CTRS
• Evan Alexander Reaume, PA-C
• Tiffany D Rebandt, ANP
• Breanna Alysse Rebe, OTD, OTR/L
• Rebecca J Colburn
• Alan Ira Rebenstock, M.D.
• Gina Elizabeth Rebesco, MD
• Benjamin Parr Rechner, MD
• Stephen F Rechner, MD
• Crosby Nathanial Rechtin, M.D.

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.