Active NPI
Rebecca A Halterman, LCSW
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1154364131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C005261
- Practice address
- 4208 Six Forks Rd
BLDG 1, Suite 305 a
Raleigh, NC 27609-5735 - Phone
- (800) 632-6074
- Fax
- (866) 341-7509
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C005261 | NC | Primary |
Addresses
Primary practice location
4208 Six Forks Rd
BLDG 1, Suite 305 a
Raleigh, NC 27609-5735
Mailing address
21321 Marsh Creek Dr
Ashburn, VA 20148-4025
Phone (703) 723-1459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106410 | Medicaid | NC |
Other names 1
- Rebecca Ann Redfearn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C005261 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Health Services, Inc | Clinical | Past | Accepting new patients |
| Paradigm Health, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Clearwater, FL
- NPI 1942245568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1154364131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21321 MARSH CREEK DR",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201484025",
"telephone_number": "703-723-1459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4208 SIX FORKS RD",
"address_2": "BLDG 1, SUITE 305 A",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095735",
"telephone_number": "800-632-6074",
"fax_number": "866-341-7509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALTERMAN",
"first_name": "REBECCA",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106410",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "REDFEARN",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.