Active NPI
Rebecca Yoder Adler, LICSW
- Clinical Social Worker
- Newburyport, MA
National Provider Identifier
1154481679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101614
- Practice address
- 1 Merrimac Street
Suite 17
Newburyport, MA 01950 - Phone
- (978) 463-3030
- Fax
- (978) 463-0009
- NPI assigned
- Dec 12, 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 | 101614 | MA | Primary |
Addresses
Primary practice location
1 Merrimac Street
Suite 17
Newburyport, MA 01950
Mailing address
1 Merrimac Street
Suite 17
Newburyport, MA 01950
Phone (978) 465-7900
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 |
|---|---|---|---|
| 101614 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port Psychological Assoc Inc | Clinical | Past | 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": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1154481679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MERRIMAC STREET",
"address_2": "SUITE 17",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "01950",
"telephone_number": "978-465-7900",
"fax_number": "978-463-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MERRIMAC STREET",
"address_2": "SUITE 17",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "01950",
"telephone_number": "978-463-3030",
"fax_number": "978-463-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLER",
"first_name": "REBECCA",
"middle_name": "YODER",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "101614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburyport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.