Rebecca McKeirnan, M.S.W., L.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW128834 Issued in PA

Practice address

705 Washington Blvd Ste 100
Williamsport, PA 17701-5355

Phone

(570) 321-6390

NPI assigned

Oct 25, 2010

Last updated

Apr 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gillum Psychological & Counseling Services

  • Psychologist
  • Williamsport, PA
  • NPI 1891115119

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1215237227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WASHINGTON BLVD STE 100",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015355",
            "telephone_number": "570-321-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WASHINGTON BLVD STE 100",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015355",
            "telephone_number": "570-321-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEIRNAN",
        "first_name": "REBECCA",
        "credential": "M.S.W., L.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW128834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100777700036",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Amm McElwee, L.S.W.
• Macayla Louise McFadden, RN BSN
• Suzan Annette McGary, MD
• Raymond Patrick McGinnis, LCSW
• Amy K. McGovern, M.ED
• Sarah McLaughlin, DO
• Steven J McLaughlin
• Christine McMahon
• Jennifer M McPherson
• Tasheka Ammoya McPherson, M.D.

• Social Worker in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.