Individual provider Active NPI

Rebecca Lynn Debell, LCSW-R

  • Clinical Social Worker
  • Ithaca, NY
National Provider Identifier
1174846307
Registry record updated Feb 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078045 Issued in NY
Practice address
555 Warren Rd
Ithaca, NY 14850-1862
Phone
(607) 257-1555
Fax
(607) 257-2510
NPI assigned
Mar 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 078045 NY Primary

Addresses

Primary practice location

555 Warren Rd
Ithaca, NY 14850-1862

Mailing address

555 Warren Rd
Ithaca, NY 14850-1862
Phone (607) 257-1555

Other practice location 1

122 W Court St Ste 109
Ithaca, NY 14850-4165
Phone (607) 256-4422

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
I20190429002495 NY Practitioner - Clinical Social Worker 4981833241 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shakespeare & Muscente LCSW, PLLC CurrentSince Mar 4, 2019 Accepting new patients
Franziska Racker Centers Inc Past Accepting new patients

Locations

121 W Court St
Ste 101
Ithaca, NY 14850
Phone (607) 256-4422

122 W Court St
Ste 109
Ithaca, NY 14850
Phone (607) 256-4422

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": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549065600000",
    "number": "1174846307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WARREN RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501862",
            "telephone_number": "607-257-1555",
            "fax_number": "607-257-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WARREN RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501862",
            "telephone_number": "607-257-1555",
            "fax_number": "607-257-2510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 W Court St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148504165",
            "country_code": "US",
            "telephone_number": "607-256-4422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBELL",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2019-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.