Rebecca Waite

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

124542 Issued in MA

Practice address

75 S Church St Ste 22
Pittsfield, MA 01201-6128

Phone

(727) 223-1303

NPI assigned

Apr 15, 2020

Last updated

Apr 29, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• This Space Between

  • Clinical Social Worker
  • Pittsfield, MA
  • NPI 1093301145
  NPD Authorized official
• River Birch Wellness LLC

  • Clinical Social Worker
  • St Petersburg, FL
  • NPI 1730717638
  NPD (past)

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1225657620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010860363",
            "telephone_number": "727-223-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S CHURCH ST STE 22",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016128",
            "telephone_number": "727-223-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16249",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rose Votruba, PA-C
• Alan Vreeland
• Nakul Vyas
• Sarah Wager
• Chelsea Wailgum, PA-C
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2228)
• Wal-Mart Stores East, LP (Vision Center 30-2228)
• Caitlyn Waldheim
• Deirdre Ann Walger
• Walgreen Co (Walgreens #18122)

• Clinical Social Worker in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.