Individual provider Active NPI

Rebecca Joy Hartman, MSW, LCSW, LCAS, CCS

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1174769350
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007037 Issued in NC
Practice address
2609 Atlantic Ave Ste 111
Raleigh, NC 27604-1549
Phone
(919) 830-8262
NPI assigned
Dec 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1416 NC
Clinical Social Worker 1041C0700X C007037 NC Primary

Addresses

Primary practice location

2609 Atlantic Ave Ste 111
Raleigh, NC 27604-1549

Mailing address

1649 Brown Owl Dr
Raleigh, NC 27610-3096
Phone (919) 830-8262

Other practice location 1

1649 Brown Owl Dr
Raleigh, NC 27610-3096
Phone (919) 830-8262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250826001272 NY Practitioner - Clinical Social Worker 8426230707

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2261 Market St
San Francisco, CA 94114-1612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C007037NCMDClinical Social Worker
1416NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Aug 1, 2025 Accepting new patients
Freedom House Recovery Center, Inc. Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

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.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174769350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 BROWN OWL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103096",
            "telephone_number": "919-830-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 ATLANTIC AVE STE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041549",
            "telephone_number": "919-830-8262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1649 Brown Owl Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276103096",
            "country_code": "US",
            "telephone_number": "919-830-8262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "REBECCA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, LCAS, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1416",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.