Individual provider Active NPI

Rebecca Wright, MSW

  • Clinical Social Worker
  • South Bend, IN
National Provider Identifier
1194304915
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34011023A Issued in IN
Practice address
300 S Saint Louis Blvd Ste 150
South Bend, IN 46617-3028
Phone
(574) 406-1520
NPI assigned
Apr 7, 2021
Last updated
Mar 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33010138A IN
Clinical Social Worker 1041C0700X 34011023A IN Primary

Addresses

Primary practice location

300 S Saint Louis Blvd Ste 150
South Bend, IN 46617-3028

Mailing address

300 S Saint Louis Blvd Ste 150
South Bend, IN 46617-3028
Phone (574) 406-1520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240724000560 IN Practitioner - Clinical Social Worker 0941746101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

210 Falls Ave
Wabash, IN 46992-2333

2621 E Jefferson St
Warsaw, IN 46580-3880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33010138AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Health Inc CurrentSince Sep 22, 2025 Accepting new patients
Bowen Health Inc Current Accepting new patients
Meridian Health Services Corp. PastSince Apr 1, 2021 Accepting new patients
Optum Behavioral Care of Colorado, P.C. PastSince May 28, 2024 Accepting new patients
Meridian Health Services Corp PastSince Apr 1, 2021 Accepting new patients

Locations

255 N Miami St
Wabash, IN 46992
Phone (260) 563-8446

2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573

850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169

Interoperability endpoints

  • Direct secure messaging: rebecca.wright.p1@direct.meridianhs.nextgenshare.com

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1194304915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S SAINT LOUIS BLVD STE 150",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466173028",
            "telephone_number": "574-406-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S SAINT LOUIS BLVD STE 150",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466173028",
            "telephone_number": "574-406-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "REBECCA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33010138A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011023A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.