Individual provider Active NPI

Rebecca Lynn Sember, LCSW

  • Clinical Social Worker
  • Ansonia, CT
National Provider Identifier
1134875511
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10805 Issued in CT
Practice address
7 Belleview Ter
Ansonia, CT 06401-2504
Phone
(203) 231-3422
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10805 CT Primary

Addresses

Primary practice location

7 Belleview Ter
Ansonia, CT 06401-2504

Mailing address

7 Belleview Ter
Ansonia, CT 06401-2504
Phone (203) 231-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20220418001941 CT Practitioner - Clinical Social Worker 2264829480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ansonia, CT 06401
Phone (475) 239-4740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10805CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Sember LCSW PLLC Clinical CurrentSince Feb 18, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1134875511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BELLEVIEW TER",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064012504",
            "telephone_number": "203-231-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BELLEVIEW TER",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064012504",
            "telephone_number": "203-231-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMBER",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

Verify at the official NPI Registry.