Individual provider Active NPI

Rebecca Fessehaie Tesfai

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1164010989
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW009210 Issued in GA
Practice address
735 Piedmont Ave NE
Atlanta, GA 30308-1416
Phone
(404) 588-4680
NPI assigned
Jan 7, 2021
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 87256 CA
Clinical Social Worker 1041C0700X 105223 CA
Clinical Social Worker 1041C0700X CSW009210 GA Primary

Addresses

Primary practice location

735 Piedmont Ave NE
Atlanta, GA 30308-1416

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other practice location 1

345 S San Pedro St
Los Angeles, CA 90013-1633
Phone (323) 803-9224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231213001953 CA Practitioner - Clinical Social Worker 1456700632
I20260204000312 GA Practitioner - Clinical Social Worker 1456700632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8390 Champions Gate Blvd
Suite 220
Champions Gate, FL 33896-8310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105223CAMDClinical Social Worker
CSW009210GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The People Concern Current Accepting new patients
The People Concern CurrentSince Oct 28, 2023 Accepting new patients
AIDS Healthcare Foundation CurrentSince Dec 24, 2025 Accepting new patients
The People Concern CurrentSince Oct 28, 2023 Accepting new patients
AIDS Healthcare Foundation CurrentSince Dec 24, 2025 Accepting new patients

Locations

2116 Arlington Ave
Ste 100
Los Angeles, CA 90018

345 S San Pedro St
Los Angeles, CA 90013
Phone (213) 537-0822

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

1751 Cloverfield Blvd
Santa Monica, CA 90404
Phone (310) 450-0650

1438 W Peachtree St NW
Atlanta, GA 30309
Phone (470) 283-7349

735 Piedmont Ave NE
Atlanta, GA 30308
Phone (404) 588-4680

5700 Hillandale Dr
Ste 100
Lithonia, GA 30058
Phone (770) 593-6684

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1164010989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 PIEDMONT AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081416",
            "telephone_number": "404-588-4680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 S San Pedro St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900131633",
            "country_code": "US",
            "telephone_number": "323-803-9224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESFAI",
        "first_name": "REBECCA",
        "middle_name": "FESSEHAIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "87256",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "105223",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.