Active NPI
Rebecca Leigh Zeleny, LCSW
- Social Worker
- Berryville, AR
National Provider Identifier
1194833236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2361-C
- Practice address
- 208 Hwy 62 W
Berryville, AR 72616 - Phone
- (479) 725-5224
- Fax
- (479) 750-8967
- NPI assigned
- Aug 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Social Worker | 104100000X | 2361-C | AR | Primary |
Addresses
Primary practice location
208 Hwy 62 W
Berryville, AR 72616
Mailing address
2400 S. 48TH Street
Springdale, AR 72762
Phone (479) 750-2020
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2361-C | AR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca Zeleny | Past | Accepting new patients |
Interoperability endpoints
- rebecca.zeleny.1@22378.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Berryville, AR
- NPI 1760898761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1194833236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S. 48TH STREET",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "72762",
"telephone_number": "479-750-2020",
"fax_number": "479-750-8967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 HWY 62 W",
"city": "BERRYVILLE",
"state": "AR",
"postal_code": "72616",
"telephone_number": "479-725-5224",
"fax_number": "479-750-8967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELENY",
"first_name": "REBECCA",
"middle_name": "LEIGH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "2361-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berryville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.