Active NPI
Rebecca Disarro, LCSW
- Clinical Social Worker
- Lancaster, PA
National Provider Identifier
1154773026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW020764
- Practice address
- 790 New Holland Ave
Lancaster, PA 17602-2137 - Phone
- (717) 390-0353
- Fax
- (717) 390-1812
- NPI assigned
- Jul 5, 2016
- 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 | CW020764 | PA | Primary |
Addresses
Primary practice location
790 New Holland Ave
Lancaster, PA 17602-2137
Mailing address
PO Box 597
Mountville, PA 17554-0597
Phone (717) 285-7121
Other names 1
- Rebecca L Gery
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1154773026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 597",
"city": "MOUNTVILLE",
"state": "PA",
"postal_code": "175540597",
"telephone_number": "717-285-7121",
"fax_number": "717-285-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 NEW HOLLAND AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022137",
"telephone_number": "717-390-0353",
"fax_number": "717-390-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISARRO",
"first_name": "REBECCA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-05",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW020764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "GERY",
"middle_name": "L",
"credential": "LSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.